CONTACTS
0201 - Doctor Gloria Tucker
020101 - Dr. Gloria Tucker
020103 - Medical Offices
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 49 0000. ref SDS 48 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040508 -
040510 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 170123 1530 Gina Franco called and left message to pickup Synvisc
040902 - medication at the Pharmacy, before arriving in Module 2. ref SDS 6
040903 - LL52 Went to Pharmacy; they supplied Supartz (Hyalurnate NA 10MG/ML
040904 - INJ 2.5ML Syringe), and said it is superior to Synvisc. ref SDS 6 LL5N
040905 - Gina performed the injection procedure in the right knee only - was
040906 - fast and painless. ref SDS 6 VG6M
040907 -
040909 - ..
040910 - On 180105 1118 Jane called and advised of cancellation, so ordered PRP
040911 - treatment in feet and knees by Doctor Gloria Tucker. ref SDS 26 O46F
040913 - ..
040914 - On 180105 1321 letter to Doctor Thuillier in VA Orthopedics notified
040915 - have been unable to download radiologist report on MRI of both feet
040916 - performed on 171229. ref SDS 27 O46F Further explained plan on
040917 - driving to VAMCSF to get the report from VA Release of Information
040918 - (ROI). ref SDS 27 I492 Also planned to schedule meeting with Doctor
040919 - Thuillier for review results of MRI studies on feet and knees. 180105
040920 - 1321, ref SDS 27 I495
040922 - ..
040923 - On 180105 1630 Doctor Tucker performed 3rd PRP injection treatment for
040924 - feet and knees again. ref SDS 28 0001
040926 - ..
040927 - On 180108 letter to Doctor Thuillier reported PRP treatment in both
040928 - feet and both knees on 180105 1630, ref SDS 28 HP5O, and related
040929 - research indicating PRP yields measurable increase in minisucs
040930 - cartilage over 6 months. ref SDS 28 JX67
040932 - ..
040933 - On 180110 1100 meeting Doctor Thuillier. ref SDS 30 JN9H
040935 - ..
040936 - On 180423 0908 called Jane and scheduled meeting with Doctor Thuillier
040937 - on 180425 1145. ref SDS 32 OL9L
040939 - ..
040940 - On 180425 1145 meeting Doctor Thuillier review progress recover feet
040941 - and knee injuries using PRP injection treatments, ref SDS 33 V54H, and
040942 - order additional care. ref SDS 33 4J6H
040944 - ..
040945 - On 180427 0458 letter to Doctor Thuillier confirm understandings from
040946 - meeting on 180425. ref SDS 34 V54H
040948 - ..
040949 - On 180516 1015 meeting Doctor Thuillier got name of "smartwool" socks.
040950 - ref SDS 38 GW5N The doctor suggested trying Doctor Scholl's Corn
040951 - Removers using Salicylic Acid to recover from Tailor's Bunion on left
040952 - side of left foot, and from calluses on both big toes. ref SDS 38 GW7M
040953 - Doctor Thuillier indicated PRP treatments have been strong remedies
040954 - for metatrsalgia, plantar plate tear, hallux valgus, and Tailor's
040955 - Bunion. He is investigating how VA can pay for the treatments.
040956 - ref SDS 38 GG6J
040958 - ..
040959 - On 180521 1045 called Connie in Doctor Tucker's office, and she
040960 - scheduled PRP treatment on 180620 1530. ref SDS 39 V54H Connie
040961 - submitted letter confirming work plan. ref SDS 39 PQ6J She included
040962 - directions to new office location. ref SDS 39 P58O
040964 - ..
040965 - On 180522 2318 submitted letter to Doctor Tucker confirming PRP
040966 - treatment on 180620 1530, and setting scope for care. ref SDS 40 E476
040968 - ..
040969 - On 180820 1039 scheduled follow up with 5th PRP treatment on 180824
040970 - 1515. ref SDS 43 E27M
040972 - ..
040973 - On 180824 1515 meeting Doctor Tucker for 5th PRP injection treatment
040974 - to protect feet and knees. ref SDS 44 0001
040976 - ..
040977 - On 181024 0752 sent letter to Doctor Thuillier, ref SDS 46 FC8M,
040978 - asking him to order Supartz injections for knees. ref SDS 46 OC44
040980 - ..
040981 - On 181025 0735 received letter from Doctor Thuillier saying he will
040982 - order Supartz. ref SDS 47 ZY5G
040984 - ..
040985 - On 181025 0735 at 0801 letter to Jane in Orthopedics Administration,
040986 - asking about coordinating schedule for Supartz injections. ref SDS 47
040987 - 7H7S
040989 - ..
040990 - On 181026 1022 Jane called and scheduled Supartz injections in both
040991 - knees beginning on 181126 1000. ref SDS 48 V54H
040993 - ..
040994 - On 181115 1643 received call from Chris with VA Clinic in Santa Rosa,
040995 - and he confirmed schedule for Gina to give Supartz injection
040996 - treatments on 181126, and that the VA will arrange to have medication
040997 - delivered to Gina's office, so the patient is not required to received
040998 - it from the Pharmacy and deliver to Gina. ref SDS 49 V54H
040999 -
041000 -
041001 -
041003 - ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Visit...
041402 -
041403 - Santa Rosa VA Community Based Outpatient Clinic
041404 - SR Ortho-Franco Phys Asst
041405 - 3841 Brickway Boulevard
041406 - Santa Rosa, CA
041407 -
041408 - 415 750 2130 Option 3
041410 - ..
041411 - Take 101 to Airport Blvd, to Brickway Blvd
041412 -
041414 - ..
041415 - Chris greeted us in the waiting room, and ushered us into Gina's
041416 - office.
041418 - ..
041419 - Supartz injections in both knees today, was ordered by Doctor Thuiller
041420 - at VAMCSF on 181025, ref SDS 47 ZY5G
041422 - ..
041423 - Gina remembered our prior work getting Supartz injection in right knee
041424 - beginning on 170123 1530. ref SDS 6 C14I
041426 - ..
041427 - Explained getting a 2nd line of care with Supartz in right knee from
041428 - Joan beginning on 170731 1500. ref SDS 9 0001
041430 - ..
041431 - Five (5) days earlier had PRP injections in left knee, performed by
041432 - Doctor Gloria Tucker at her office in Novato, a few miles South of the
041433 - VA here in Santa Rosa. This was an experiment to compare
041434 - effectiveness of PRP with Supartz, reported on 170726 1600.
041435 - ref SDS 8 4Y8K
041437 - ..
041438 - Gina asked results of this test, and explained she has investigated
041439 - PRP injections for feet and knees as well. She hopes to get
041440 - assignment for doing injections of PRP, when VA adopts this line of
041441 - care.
041443 - ..
041444 - While we talked Gina injected Supartz first in the left knee, then
041445 - the right knee. Thanked her for excellent skills - did not feel a
041446 - thing.
041448 - ..
041449 - Gina has been discussing using PRP at the VA with Doctor Sara Edwards,
041450 - who works in Orthopedics at the VA Medical Center in San Francisco.
041451 - Gina indicated the doctor is a sports medicine specialist at UCSF, and
041452 - strongly supports using PRP to treat repetitive stress injuries like
041453 - osteoarthritis in knees and metatarsalgia in feet.
041455 - ..
041456 - Explained work the past year with Doctor Dan Thuillier also in
041457 - Orthopedics at VAMCSF, and a professor at UCSF. He is aware of
041458 - success treating knees and feet in this case with PRP under Doctor
041459 - Tucker, beginning in July last year, reported on 170726 1600.
041460 - ref SDS 8 0001
041462 - ..
041463 - During the meeting today, explained that PRP injections in feet and
041464 - knees enabled doubling hiking this year to over 3,000 miles, including
041465 - hiking Half Dome on 180912 0545. ref SDS 45 0001
041467 - ..
041468 - Gina was very pleased hearing these favorable results that line up
041469 - with her research indicating effectiveness of PRP treating repetitive
041470 - stress injuries to knees. She reported having worked with Doctor
041471 - Thuillier on considering PRP at the VA, as well as Doctor Edwards, per
041472 - above. ref SDS 0 I66I
041474 - ..
041475 - Explained meeting with Doctor Gloria Tucker at her office here in
041476 - Santa Rosa, after getting treatment from Gina today. The doctor has
041477 - an article on combining PRP with Supartz (hyaluronic acid) to increase
041478 - effectiveness of both lines of care.
041480 - ..
041481 - Gina requested a copy of the article.
041482 -
041483 - [On 181126 1127 meeting Doctor Tucker advised of meeting
041484 - with Gina at VA, and received article on combinging Supartz
041485 - with PRP. ref SDS 50 T69K
041487 - ..
041488 - During these discussions, Gina injected both kneew with Supartz.
041490 - ..
041491 - She scheduled the next 2 injections on...
041492 -
041493 - 181203 1030
041494 - 181210 1030
041496 - ..
041497 - Both will be performed here at the VA in Santa Rosa.
041498 -
041499 -
041501 - ..
0416 -
0417 -
0418 - 1952
0419 -
041901 - This evening sent letter to Gina with copy to Doctor Thuiller and to
041902 - Doctor Tucker, saying...
041903 -
041904 - 1. Subject: Article combine Supartz with PRP
041905 - Date: 2018-11-26 20:30
041913 - ..
041914 - 2. Thanks very much for good care today, providing Supartz
041915 - injections into both knees.
041917 - ..
041918 - This references meeting with Gina earlier today at VA Clinin in Santa
041919 - Rosa. ref SDS 0 V54H
041921 - ..
041922 - Letter to Gina at VA Clinic in Santa Rosa continues...
041923 -
041924 - 3. After our meeting, I met with Doctor Gloria Tucker at her
041925 - office in Santa Rosa at 95 Montgomery Street. She submitted
041926 - the article you requested [...reported in another record today
041927 - on 181126 1127, ref SDS 50 T66V...
041929 - ..
041930 - "Clinical therapy of hyaluronic acid combined with
041931 - platelet-rich plasma for the treatment of knee osteoarthritis"...
041932 - -----------------------------------------------------------------
041933 -
041934 - ...published by...
041936 - ..
041937 - EXPERIMENTAL AND THERAPEUTIC MEDICINE - SPANDDOS PUBLICATIONS
041938 - Published online 2018 Jul 6
041940 - ..
041941 - 4. It is online at...
041942 -
041943 - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122407/
041945 - ..
041946 - 5. The abstract summarizes findings, saying...
041947 -
041948 - "PRP and HA combination treatment significantly improved
041949 - arthralgia, reduced humoral and cellular immune responses and
041950 - promoted angiogenesis, which improved the patients'
041951 - histological parameters compared with PRP or HA treatment
041952 - alone."
041954 - ..
041955 - 6. If you need a printed copy, I can bring it to the meeting next
041956 - Monday, when you will do the 2nd Supartz injections. Please
041957 - let me know.
041959 - ..
041960 - 7. Your work with Doctor Sara Edwards in Orthopedics at VAMCSF
041961 - considering PRP to compliment Supartz sounds promising.
041963 - ..
041964 - References discussion with Gina earlier today, per above. ref SDS 0
041965 - I66I
041967 - ..
041968 - Letter to Gina at VA Clinic in Santa Rosa continues...
041969 -
041970 - 8. Have also attached a spreadsheet showing daily hiking the past
041971 - 8 years, and correlated to increasing HDL nearly 300%, from HDL
041972 - 30, when I had CABG x4 surgery on 091022, to HDL 83, 2 weeks
041973 - ago on November 12. You can also see how vitals correlate to
041974 - hiking.
041975 -
041976 - F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx
041978 - ..
041979 - 9. As we discussed, hiking at this level increases repetitive
041980 - stress on feet and knees. Doctor Dang in Orthopedics at VAMCSF
041981 - ordered Supartz in December 2016, for the right knee. You
041982 - started the 3-part injection series on 170123. Joan later
041983 - provided a 2nd series of injections on 170731. A week prior on
041984 - 170726, Doctor Gloria Tucker performed PRP injections to treat
041985 - metatarsalgia in the feet, since Supartz injections of
041986 - hyaluronic acid cannot treat the feet. She offered to
041987 - experiment injecting the left knee to compare effects of PRP,
041988 - with Supartz in the right knee. PRP was later continued in
041989 - both knees and feet this year in 2018. As seen in the
041990 - spreadsheet, hiking was only intermittent for 5 years, fighting
041991 - feet and knee pain. This year PRP treatment made hiking 11
041992 - miles per day more consistent. Amazingly, hiking increased to
041993 - 15 and 20 miles per day, the past 4 weeks. On 181029, reached
041994 - HDL 73, and on 181112, reached HDL 83, with consequent improved
041995 - in vitals.
041997 - ..
041998 - 10. This increased hiking increased damage to feet and knees. Was
041999 - pleased that Doctor Tucker found the study (cited above)
042000 - reporting favorable results combining Supartz with PRP. Last
042001 - month, Doctor Thuillier in Orthopedics at VAMCSF, ordered
042002 - another Supartz treatment, which you started today. Also,
042003 - today, Doctor Tucker scheduled another PRP injection treatment
042004 - on December 12, after you complete the 3rd Supartz injections
042005 - to both knees. This will test extending effectiveness of
042006 - injection therapy in the knees, as discussed in the article.
042008 - ..
042009 - 11. Accordingly, I am pleased for the opportunity to work with the
042010 - VA and Doctor Tucker combining hyaluronic acid with PRP, where
042011 - the degree of repetitive stress is high. The goal would be to
042012 - achieve pain free extended endurance exercise (hiking) for 6
042013 - months, as the VA accepts for Supartz alone.
042015 - ..
042016 - 12. Thanks again for good care today. See you December 3, at 1030,
042017 - for the 2nd set of Supartz injections, with the 3rd set
042018 - scheduled on December 10, 1030.
042019 -
042025 -
042027 - ..
042028 - 15. Attachments:
042029 - hiking_miles_3.xlsx 274 KB
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Distribution. . . . See "CONTACTS"