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 93 0000. ref SDS 79 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 - Doctor Tucker provided effective, comprehensive PRP treatment to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040504 - recover from multiple feet and knee injuries.  Her office called this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040505 - morning, and requested meeting at 1130, rather than 1300.  Drove to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040506 - the doctor's office in Novato.  Took hydrocodone pill before leaving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040507 - from Concord, so it will be effective for optimum pain management                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040508 - during PRP injections. ref SDS 0 V54H  Discussed scope of work based                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040509 - on xray performed by the VA last week on 190607. ref SDS 0 SO4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040510 - Decided main focus of PRP will be left knee, and narrowing of patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040511 - joint space. ref SDS 0 WS4I  The doctor drew blood from left arm inner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040512 - elbow.  Kathy assisted getting full compliment of blood required for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040513 - centrifuge process, and requiring only 1 stick. ref SDS 0 PS4K  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040514 - Tucker palpated prospective sites, and marked locations for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040515 - injections.  Kathy sprayed sites with numbing agent.  Doctor Tucker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040516 - injected lidocaine into each site. ref SDS 0 O26N  PRP injections were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040517 - well tolerated today, because patient took hydrocodone several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040518 - before injections occurred. ref SDS 0 LO4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041277 -  ..
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0415 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041601 - Meeting...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041603 -        Doctor Gloria Tucker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041604 -        250 Bel Marin Keys Boulevard #G1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041605 -        Novato, CA 94945                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041606 -        415 506 4907                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041608 -  ..
041609 - Paul called this morning responding to the letter yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041610 - confirming plans for PRP treatment today, reported on 190611 1442.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041611 - ref SDS A6 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041613 -  ..
041614 - Took hydrocodone pill (actually Norco) about 2 hours before leaving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041615 - for the doctor's office, per planning the doctor's letter after the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041616 - previous PRP treatment on 190515, reported on 190517 1139. ref SDS 96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041617 - V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041619 -            [On 190614 0938 letter notifies Doctor Tucker that taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041620 -            hydrocodone (actually Norco) 2 hours before PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041621 -            was effective reducing pain. ref SDS A7 R590                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041623 -  ..
041624 - Took shower and ran hot water over inner left arm at location the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041625 - doctor typically makes needle insertion for blood draws.  This will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041626 - improve flexibility for better blood flow, shown by experience setting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041627 - IVs for EGD procedures, most recenly a few weeks ago on 190521 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041628 - ref SDS 97 JA4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041630 -            [...below on 190612 1130 at 1200 good blood flow drawing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041631 -            from same vein continuously, aided by running hot water                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041632 -            over vein injection site, and by pushups. ref SDS 0 G13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041634 -  ..
041635 - Implement planning in call from Connie on 190510 1015, ref SDS 87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041636 - V54H, scheduling PRP treatment with Doctor Tucker today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041638 -  ..
041639 - Arrived at Doctor Tucker's office.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041641 -  ..
041642 - Paul was at the front desk, and said Doctor Tucker will be available                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041643 - shortly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041649 -  ..
0417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0419 - 1135                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042001 - Entered procedure room, removed shoes and socks, and shirt for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042002 - examination of feet and shoulders.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042004 -  ..
042005 - Setup c23 opened to the xray file, which was performed at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042006 - 190607 0810. ref SDS A5 SQ51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042012 -  ..
042013 - Develope Scope of Work for 9th Regeneration PRP Injection Treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042014 - 
042015 - Follow up ref SDS 93 SO4N, ref SDS 79 SO4N.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042017 - Gloria asked for scope of work for 9th PRP treatment?  Submitted CD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042018 - with radiology files and radiologist's analysis for xray performed at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042019 - VAMCSF on 190607 0810. ref SDS A5 SQ51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042021 -  ..
042022 - Reviewed letter to the doctor explaining scope, submitted yesterday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042023 - 190611 1442. ref SDS A6 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042026 -        1.  Left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042028 -            Placed feet on gurney and did 10 pushups to test recovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042029 -            since ultrasound guided PRP injections on 190515 1400.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042030 -            ref SDS 93 M23O  Pushups were done much easier today, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042031 -            previously.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042033 -  ..
042034 - Decided not to inject left shoulder again today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042036 -               [...below on 190612 1130 at 1200 good blood flow drawing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042037 -               from same vein continuously, aided by pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042038 -               ref SDS 0 G13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042041 -             ..
042042 -        2.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042044 -            There is no longer sensation that femur bone is slipping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042045 -            forward off the meniscus, when hiking downhill.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042046 -            indicates 3 PRP injections to front of the knee below the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042047 -            knee cap (patella) performed on 190515 1400. ref SDS 93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042048 -            TF4H, were effective, reported in the letter on 190524                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042049 -            1048. ref SDS 98 CY62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042051 -  ..
042052 - Decided not to inject front of left knee today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042055 -            Pain in back of left knee has subsided after 3 PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042056 -            injections on 190515 1400. ref SDS 93 TQ7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042058 -  ..
042059 - Doctor Tucker used a medical mockup of the knee to show crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042060 - anterior (lateral) cruciate ligament (ACL) and posterior (medial)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042061 - cruciate liament (PCL) help maintain alignment of femur and tibia leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042062 - bones.  She was pleased that PRP she injected on 190515, relieved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042063 - prior pain in the bac of left knee. ref SDS 93 TQ7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042065 -  ..
042066 - Decided not to inject back of left knee today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042069 -             ..
042070 -            Current continuing pain seems internal to knee, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042071 -            degenerating meniscus, despite 1 lateral prp injection and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042072 -            2 medial injections on 190403 1000, ref SDS 79 TF4H, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042073 -            further indicated by buckling of the knee, reported in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042074 -            letter on 190611 1442. ref SDS A6 3360  Buckling left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042075 -            is reported continuously, e.g., on 190529 in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042076 -            190101 0730. ref SDS 64 YXSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042078 -  ..
042079 - Doctor Tucker used c23 to view xray study performed by VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042080 - 190607 0810. ref SDS A5 5T5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042082 -  ..
042083 - Xray files are stored in...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042085 -              F:\05\00003\SM\CC\AGMJ\20190607-091600\xray_knees\MediaViewerLauncher.EXE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042087 -  ..
042088 - The doctor pointed out narrowing joint space at lateral meniscus, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042089 - she noted narrowing of patella joint space.  Radiologist's report for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042090 - xray on 190607 0810, says in part...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042092 -            "Left knee:  Unchanged medial and lateral femorotibial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042093 -            joint space narrowing compatible with moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042094 -            osteoarthritis.  No evidence of acute fracture.  Worsening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042095 -            lateral subluxation of the patella with patellofemoral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042096 -            osteophytes.  Trace suprapatellar effusion.  New quadriceps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042097 -            insertional enthesophyte." ref SDS A5 TB5V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042099 -  ..
042100 - The doctor decided to focus PRP injections today, on treating left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042101 - knee deficits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042104 -             ..
042105 -        3.  Right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042107 -            Has responded well to 2 lateral PRP injections on 190403                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042108 -            1000. ref SDS 79 GE9L  Interval hiking has revealed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042109 -            intermittant right knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042111 -  ..
042112 - Radiologist's report for xray on 190607 0810, says in part...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042114 -            "Right knee:  Unchanged medial femorotibial joint space                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042115 -            narrowing with tricompartmental osteophytes compatible with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042116 -            moderate osteoarthritis.  No evidence of acute fractures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042117 -            Heterotopic ossification of the medial joint line likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042118 -            sequela of prior ligamentous injury.  Trace suprapatellar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042119 -            effusion.  Small quadriceps insertional enthesophyte.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042120 -            Surgical clips project over the posterior soft tissue."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042121 -            ref SDS A5 TB47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042123 -  ..
042124 - The doctor decided to assign right knee lowest priority for PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042125 - injections today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042128 -        4.  Tailor's Bunion right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042130 -            Was treated with PRP injection on 190403 1000. ref SDS 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042131 -            GE5H  Since then there are no reports of pain, so no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042132 -            reason to inject again today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042136 -             ..
042137 -        5.  Tailor's Bunion left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042139 -            Was treated with PRP injection 190403 1000. ref SDS 79 9G4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042140 -            There was continuing pain in left foot Tailor's Bunion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042141 -            while hiking, e.g., on 190419 shown in case study on 190101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042142 -            0730. ref SDS 64 SVQX  On 190427 pain level 2 - 3 almost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042143 -            entire hike. ref SDS 64 UPQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042145 -             ..
042146 -            Was treated again with PRP on 190515 1400. ref SDS 93 Q35G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042147 -            There was continuing pain in left foot Tailor's Bunion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042148 -            while hiking, e.g., on 190522 shown in case study on 190101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042149 -            0730. ref SDS 64 XWVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042151 -             ..
042152 -            Doctor Tucker commented that pain in left foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042153 -            Bunion and no pain in right foot Tailor's Bunion may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042154 -            reflect more severe left knee deficits compared to right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042155 -            knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042157 -  ..
042158 - The doctor decided to inject left foot Tailor's Bunion with PRP using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042159 - ultrasound guidance, and commented this requires integrated PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042160 - treatment for left knee today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042164 -             ..
042165 -        6.  Metatarsalgia both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042167 -            Treated with PRP injections on 190403 1000. ref SDS 79 9T4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042169 -             ..
042170 -            Feet responded well to treatment, so there were no follow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042171 -            up injections on 190515 1400. ref SDS 93 0108  However,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042172 -            there has been continuing burning sensation bottom right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042173 -            foot, reported in the letter to the doctor on 190513 1017.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042174 -            ref SDS 89 SB9M  This has occurred everyday since last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042175 -            injections on 190403, with varying intensity, e.g., on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042176 -            190523, shown in case study on 190101 0730. ref SDS 64 XWPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042178 -             ..
042179 -            There was discussion that injections today, may maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042180 -            hiking without metatarsalgia injuries through training and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042181 -            Half Dome scheduled on 190911.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042183 -  ..
042184 - The doctor will inject small amount of PRP initially in feet, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042185 - preserve increased treatment for left knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042188 -             ..
042189 -        7.  Elbow left arm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042191 -            Injured from doing pushups.  Past 60 days has improved,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042192 -            because reduced pushups while recovering from left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042193 -            injury, per above. ref SDS 0 JK4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042195 -  ..
042196 - Doctor Tucker will monitor progress recovering and consider treating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042197 - with PRP at future time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042201 -             ..
042202 -        8.  Right side trapezius muscle injured in car crash on 170905                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042203 -            2230. ref SDS 13 0001  It recovered considerably for 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042204 -            months.  About 6 months ago seemed to relapse while hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042205 -            Seems like it should respond similarly to ligaments and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042206 -            tendons.  This has improved considerably again the past 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042207 -            days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042209 -  ..
042210 - Doctor Tucker will monitor progress recovering and consider treating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042211 - with PRP at future time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042215 -  ..
042216 - NSAID Pain Medication Paused More than 7 Days Before PRP Injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042217 - 
042218 - Doctor Tucker asked how long since taking NSAID drugs?  She said these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042219 - should have been stopped for at least the past 7 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042221 -  ..
042222 - Reviewed the letter submitted to Doctor Tucker yesterday on 190611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042223 - 1442, and saying in part...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042225 -        Have not taken naproxen nor other NSAID for over a week, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042226 -        PRP protocol. ref SDS A6 JH7M  See case study showing history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
042227 -        taking pain medication past 2 weeks, reported on 190101 0730.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042228 -        ref SDS 64 H69K.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042234 -  ..
0423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0425 - 1200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042601 - Blood Draw for PRP Completed with One Needle Stick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042602 - 
042603 - Follow up ref SDS 93 PS4K, ref SDS 79 PS4K.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042605 - The doctor drew blood from the left arm, again using the vein on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042606 - inside of the elbow, which she has used previously, reported on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042607 - 1515. ref SDS 49 YY6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042609 -  ..
042610 - Kathy assisted, holding the container for the blood draw, and clamping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042611 - the line to change vials.  Doctor Tucker aligned the needle and pushed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042612 - it into the vein.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042614 -  ..
042615 - Gloria said there was good blood flow.  After 20 seconds or so, they                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042616 - had the 60cc of blood needed for spinning down into 6 or 7 cc of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042617 - platlet rich plasma (PRP).  Successful blood draw from same vein 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042618 - weeks ago, and 4 weeks before that, was aided with running hot water                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042619 - over this vein area taking shower before leaving for the doctor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042620 - office, reported above. ref SDS 0 TY9N  Blood draw was further aided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042621 - by pushups testing left shoulder response to treatment, also reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042622 - above. ref SDS 0 SO4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042626 -  ..
042627 - Identify Injection Sites Numbing Agent and Lidocaine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042628 - 
042629 - Follow up ref SDS 93 O26N, ref SDS 79 O26N.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042631 - While PRP was being created using 2-spin Harvest centrifuge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
042632 - processing, explained in the doctor's letter on 190419 1123,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042633 - ref SDS 86 V54H, the doctor examined and palpated areas where                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042634 - injections would be made.  She marked examination findings...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042637 -               ..
042639 -   
042640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042642 -               ..
042644 -   
042645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042647 -               ..
042649 -   
042650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042652 -               ..
042654 -   
042655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042657 -  ..
042658 - Doctor Tucker used ultrasound radiology to guide PRP injections for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042659 - left foot Tailor's Bunion...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
042663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042666 -   
042667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042669 -  ..
042670 - Both feet were marked between metatarsals...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042674 -   
042675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042677 -  ..
042678 - Numbing agent was sprayed on injection sites, which were then further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042679 - numbed with lidocaine injections...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042686 -  ..
042687 - Antiseptic was applied at each injection site...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042690 -   
042691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042693 -  ..
042694 - Injecting lidocaine into the knees is about pain level 2 - noticable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042695 - but easily tolerated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042697 -  ..
042698 - Injecting lidocaine into Tailor's Bunions on the fore-edge of the foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042699 - has been pain level 8+ on prior PRP treatments, but today, was only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042700 - about pain level 4, because took hydrodocone 2 hours before treatment,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
042701 - per above. ref SDS 0 XS8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042706 -  ..
042707 - PRP Injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042708 - 
042709 - Follow up ref SDS 93 LO4O, ref SDS 79 LO4O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042711 - After all sites were marked and numbed with spraying agent and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042712 - lidocane, and after the centrifuging process completed, the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042713 - made PRP injections.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042715 -         ..
042716 -        Left Shoulder                                     Injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042717 -        
042718 -        Follow up ref SDS 93 M23O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042720 -        Injections.........................................    0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042724 -         ..
042725 -        Trapezius right side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
042726 -        
042727 -        Follow up ref SDS 93 SB5J.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042729 -        Injections.........................................    0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042734 -         ..
042735 -        Right Leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042736 -        
042737 -        Follow up ref SDS 93 GE9L, ref SDS 79 GE9L.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042739 -        Knee joint............................................  1 - 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042741 -  ..
042742 - The doctor seemed to make 1 and possibly 2 injections on lateral side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042743 - of right knee...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042747 -   
042748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042751 -   
042753 -  ..
042754 - All pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042758 -         ..
042759 -        Left Leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
042760 -        
042761 -        Follow up ref SDS 93 TF4H, ref SDS 79 TF4H.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042763 -        Knee joint............................................  3 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042765 -  ..
042766 - The doctor seemed to make 2 and possibly 3 injections on lateral side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042767 - of left knee...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042770 -   
042771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042774 -   
042775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042777 -  ..
042778 - The doctor seemed to make 1 and possibly 2 injections on medial side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042779 - of left knee...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042782 -   
042784 -  ..
042785 - All pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042787 -        Back of knee ACL and PCL............................... 0 - 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042791 -         ..
042792 -        Right Foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
042793 -        
042794 -        Follow up ref SDS 93 0108, ref SDS 79 0108.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042796 -        Metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042797 -        Between little toe and ring toe................. 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042798 -        Between ring toe and middle toe................. 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042799 -        Between middle and long toe..................... 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042800 -        Between long toe and big toe.................... 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042804 -   
042805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042807 -               ..
042809 -   
042810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042812 -               ..
042814 -   
042815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042817 -         ..
042818 -        Tailor's bunion................................. 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042820 -  ..
042821 - Pain increases as PRP is injected to level 3+.  Much easier to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042822 - tolerate today, after taking hydrocodone 2 hours before injections,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042823 - per above. ref SDS 0 XS8M  Additionally, injections today, may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042824 - been shallower and with less PRP, in order to preserve PRP for left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042825 - knee, per above. ref SDS 0 WS4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042827 -         ..
042828 -        Total right foot...............................  4      4   4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042831 -         ..
042832 -        Left Foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
042833 -        
042834 -        Follow up ref SDS 93 YY3G, ref SDS 79 YY3G.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
042835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042836 -        Metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042837 -        Between little toe and ring toe................. 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042838 -        Between ring toe and middle toe................. 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042839 -        Between middle and long toe..................... 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042840 -        Between long toe and big toe.................... 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042844 -   
042845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042847 -  ..
042848 - She then injected the Tailor's Bunion on the left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
042850 -         ..
042851 -        Tailor's Bunion................................. 1 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
042852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042855 -   
042856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042859 -  ..
042860 - Pain increases as PRP is injected to level 8+, and so challenging to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042861 - tolerate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042865 -        Medial side left foot for Tailor's Bunion.....   1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042869 -   
042870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042873 -   
042874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042876 -         ..
042877 -        Instep left foot for Tailor's Bunbion.........   1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
042878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042881 -   
042882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042885 -   
042886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042888 -         ..
042889 -        Total left foot................................  7 - 9  7 - 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042892 -         ..
042893 -        Total injections...................................... 15 - 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
042894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042896 -  ..
042897 - How long wait before doing pushups?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042899 -  ..
042900 - The doctor said to buildup gradually over several weeks, rather than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
042901 - starting out dong 20 or 30 pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
042902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042922 -  ..
042923 - Before leaving the office, scheduled PRP on....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
042925 -                190816 1100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
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0430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050401 -  ..
050402 - Progress Notes Doctor Tucker PRP Procedure on 190403                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050403 - 
050404 - Follow up ref SDS 93 JS8O, ref SDS 79 JS8O.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050406 - Received letter from Doctor Tucker transmitting her Progress Notes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050407 - for the procedure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
050409 -  ..
050410 - Stored Doctor Tucker's Progress Notes in...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
050411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050412 -              F:\05\00003\SM\CC\AGMJ\20190612-113000\20190612_prp_prog_notes.docx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050414 -         ..
050415 -    1.  Gloria Tucker MD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050416 -        Diplomatic American College of Sports Medicine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050417 -        250 Bel Marin Keys Boulevard, Building G Suite 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050418 -        Novato, CA 94949                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050419 -        415 506 4907                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050421 -         ..
050422 -        Rod Welch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050424 -         ..
050425 -    2.  Date....................................... June 12, 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050427 -         ..
050428 -        S: Return visit for swelling and soreness in his left knee but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050429 -        no persistent pain.  He also reports that the sensation of his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050430 -        femur moving forward on his tibia has stopped.  Since the last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050431 -        set of injections.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
050433 -  ..
050434 - Aligns with understandings during the meeting, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050435 - WS4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050437 -  ..
050438 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050440 -        Right knee: He reports the right knee is 95% better and would                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050441 -        like an intra-articular injection into his right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050443 -  ..
050444 - Aligns with understandings during the meeting, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050445 - LX6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050448 -  ..
050449 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050451 -        Left foot: He reports persistent soreness in his metatarsals as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050452 -        well as his fifth MTP joint.  Despite having an injection to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050453 -        his tailor's bunion in May, the pain persists.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050455 -  ..
050456 - Aligns with understandings during the meeting, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050457 - DC9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050459 -  ..
050460 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050462 -        Right foot: Persistent soreness in his metatarsals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
050463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050465 -         ..
050466 -        Examination:  Left knee:  Minimal effusion, TTP  along his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050467 -        lateral and medial joint line, also on the superior aspect of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050468 -        his patella.  Negative Lachman, negative grind, negative sag                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050469 -        test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
050471 -         ..
050472 -        Left foot:  Mild pes planus:  An TTP in his spring ligament,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050473 -        sinus tarsus, but tender at the metatarsals 1 through 5 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050474 -        that his fifth metatarsal joint.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050476 -         ..
050477 -        Right knee: TTP along the metatarsals 1 through 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
050479 -         ..
050480 -        Right knee: Nontender.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050483 -         ..
050484 -        X-ray:  Bilateral knees:  Some narrowing of his joint space                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050485 -        with most pronounced narrowing in his left medial aspect also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050486 -        he has retropatellar osteoarthritis bilaterally.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050488 -  ..
050489 - Reflects review xray performed on 190607 at VAMCSF, discussed during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050490 - the meeting, per above. ref SDS 0 4O6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050493 -  ..
050494 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050496 -        Plan:  Discussed the possibility of a medial offloading brace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050497 -        to his left knee.  He reports having used this in the past with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050498 -        no benefit.  We will try treatment with PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050500 -  ..
050501 - Planning PRP injections today, shown above. ref SDS 0 O26N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
050503 -  ..
050504 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050506 -        Gloria Tucker, MD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
050507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050509 -         ..
050510 -        Procedure:  Patient is aware of the risks and benefits.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050511 -        aspirating 60 cc of blood from his left brachium.  We spun this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050512 -        down to PRP and buffered it with sodium bicarbonate and calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050513 -        chloride.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050515 -         ..
050516 -        We then injected the above areas of his left knee including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050517 -        intra-articularly, his patellar retinaculum, medial and lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050518 -        joint lines, and the superior aspect of his patella, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050519 -        pretreating with 1% lidocaine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050521 -  ..
050522 - Aligns with report showing left knee injections, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
050523 - ref SDS 0 TF4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050525 -  ..
050526 - Photographs unclear on exact number of injections.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050528 -  ..
050529 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050531 -        Using ultrasound guidance, I injected his left fifth MTP joint,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050533 -  ..
050534 - Aligns with record of injections and using ultrasound, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050535 - ref SDS 0 FI45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050537 -  ..
050538 - Doctor Tucker's Progress Notes continue...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050540 -        his bilateral MTP joints 1 through 5, his left sinus tarsus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050541 -        and his left spring ligament.  Lastly I injected 1 cc of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050542 -        intra-articularly to his right knee.  He tolerated the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050543 -        procedure well.  RTC 6 to 8 weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
050544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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0506 -