CONTACTS
0201 - Doctor Gloria Tucker
020101 - Ms. Gloria Tucker, MD
020103 - Medical Offices
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS A7 0000. ref SDS A5 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 170726 1600 1st PRP treatment - Doctor Tucker performed injections
040902 - to treat plantar plate tear right foot, ref SDS 11 HE4N; she also made
040903 - PRP injections treating metatarsalgia in both feet. ref SDS 11 EG7F
040904 - PRP was injected into the left knee, ref SDS 11 4Y8K,
040906 - ..
040907 - On 170816 1400 2nd PRP injection treatment regeneration therapy;
040908 - Doctor Tucker used pain management protocol similar to 1st phase, when
040909 - no pain was experience, but on this 2nd phase there was considerable
040910 - pain, because injections were deeper and more PRP was injected to
040911 - achieve benefits of regenerating (healing) plantar plate tear, which
040912 - were not achieved with 1st phase of treatment. ref SDS 13 S543 PRP was
040913 - injected into arch to repair Halux Valgus right foot. ref SDS 13 IM7N
040915 - ..
040916 - On 170817 0836 at 1207 letter from Doctor Tucker says hallux valgus is
040917 - symptom of weakening arch; injecting PRP to ligaments of the 1st mtp
040918 - (big toe) in association with treating the arch, we are hoping to help
040919 - heal that and more importantly, keep it from worsening. ref SDS 14
040920 - 9F5H
040922 - ..
040923 - On 171229 0745 MRI right knee regenerate cartelage compare left knee.
040924 - ref SDS 27 K05I
040926 - ..
040927 - On 171229 0900 MRI both feet evaluate PRP treatments. 171229 0900,
040928 - ref SDS 28 HQ5O
040930 - ..
040931 - On 180105 1630 3rd PRP treatment - Doctor Tucker performed PRP
040932 - injections, ref SDS 32 0001, for knees and feet including Tailor's
040933 - Bunions. ref SDS 32 VO3F
040935 - ..
040936 - On 180108 letter to Doctor Thuillier reported PRP treatment in both
040937 - feet and both knees on 180105 1630, ref SDS 32 HP5O, and related
040938 - research indicating PRP yields measurable increase in minisucs
040939 - cartilage over 6 months. ref SDS 32 JX67
040941 - ..
040942 - On 180110 1100 meeting Doctor Thuillier review MRI scans both feet and
040943 - both knees on 171229. ref SDS 34 JN9H The doctor cited finding in the
040944 - report from MRI on 171229, that cartilage has not further reduced
040945 - since prior study on 170412, reported on 160805. ref SDS 27 M75N He
040946 - feels this is significant that continuing patient hiking 11 miles per
040947 - day has not further degraded miniscus cartilage in both knees.
040949 - ..
040950 - On 180425 1145 meeting Doctor Thuillier review progress recover feet
040951 - and knee injuries using PRP injection treatments, ref SDS 37 V54H, and
040952 - order additional care. ref SDS 37 4J6H
040954 - ..
040955 - On 180516 1015 meeting Doctor Thuillier got name of "smartwool" socks.
040956 - ref SDS 42 GW5N The doctor suggested trying Doctor Scholl's Corn
040957 - Removers using Salicylic Acid to recover from Tailor's Bunion on left
040958 - side of left foot, and from calluses on both big toes. ref SDS 42 GW7M
040959 - Doctor Thuillier indicated PRP treatments have been strong remedies
040960 - for metatrsalgia, plantar plate tear, hallux valgus, and Tailor's
040961 - Bunion. He is investigating how VA can pay for the treatments.
040962 - ref SDS 42 GG6J
040964 - ..
040965 - On 180620 1530 4th PRP treatment to both feet and both knees.
040966 - ref SDS 46 VO3F
040968 - ..
040969 - On 180725 1145 meeting Doctor Thuillier about acetaminophen at
040970 - prescribed dose of 1000 mg per day taken over extended days, weeks and
040971 - months could accumulate into an "intoxination" condition that causes
040972 - liver damage and lowers HDL some 33%, ref SDS 49 155F, as reported in
040973 - the study reviewed on 180724 1645. ref SDS 48 EN4L Further considered
040974 - how long recovery might take to restore liver function after stopping
040975 - acetaminophen, particularly restoring elevated HDL levels? ref SDS 49
040976 - SV6H Dan said he has hiked Half Dome 4 times. ref SDS 49 G56K
040978 - ..
040979 - On 180824 1515 5th PRP treatment - meeting Doctor Tucker injection
040980 - treatment to protect feet and knees, enable training Half Dome.
040981 - ref SDS 51 0001
040983 - ..
040984 - On 180912 0545 hiked Half Dome in Yosemite Valley, total 28 miles that
040985 - day. ref SDS 52 0001
040987 - ..
040988 - On 181024 0752 sent letter to Doctor Thuillier, ref SDS 53 FC8M,
040989 - asking him to order Supartz injections for knees, hope to extend PRP
040990 - effectivenss to 6 months. ref SDS 53 OC44
040992 - ..
040993 - On 181025 0735 received letter from Doctor Thuillier advising that he
040994 - ordered Supartz for knees, which will be combined with PRP.
040995 - ref SDS 54 ZY9M
040997 - ..
040998 - On 181025 0735 at 0801 letter to Jane in Orthopedics Administration,
040999 - asking about coordinating schedule for Supartz injections. ref SDS 54
041000 - 7H7S
041002 - ..
041003 - On 181126 1130 1st of 3 Supartz injections - meeting with Gina at VA
041004 - Clinic in Santa Rosa performed 1st injection Supartz in both knees.
041005 - ref SDS 57 BK6H Gina is strong proponent for PRP at VA; she is
041006 - talking to Doctor Thuiller and Doctor Sara Edwards in Orthopedics at
041007 - VAMCSF, and hopes to get assignment for doing PRP injections.
041008 - ref SDS 57 375L
041010 - ..
041011 - On 181126 1127 meeting Doctor Gloria Tucker - received article on
041012 - favorable results combinging PRP with Supartz injections; and
041013 - scheduled next PRP treatment 2 days after last Supartz, which be done
041014 - on 181212. ref SDS 58 KJ5I
041016 - ..
041017 - On 181126 1547 at 1952 letter to Gina at VA Clinic in Santa Rosa, with
041018 - copy to Doctor Thuillier in Orthopedics at VAMCSF, and copy to Doctor
041019 - Tucker, and submitting to Gina and Doctor Thuiller article on study
041020 - combinging Supartz with PRP. ref SDS 57 VE46 Further report improved
041021 - hiking during 2018, with PRP treatments in feet and knees, reaching
041022 - 3,000 miles and HDL 83, an increase of nearly 300% after CABG x4
041023 - surgery 9 years ago. ref SDS 57 VE73
041025 - ..
041026 - On 181126 1547 receive results of Telomere test, ref SDS 59 ZD7J,
041027 - seeming to indicate have telomere length for average 77 year old,
041028 - reported in the record for the day of the blood draw on 181115 1037.
041029 - ref SDS 56 AY46
041031 - ..
041032 - On 181203 1030 2nd of 3 Supartz injections - meeting with Gina at VA
041033 - Clinic in Santa Rosa performed 2nd injection Supartz in both knees.
041034 - ref SDS 61 V54H
041036 - ..
041037 - On 181205 1045 meeting with Doctor Dan Thuillier at VAMCSF on
041038 - telomeres, ref SDS 62 V54H; collaborating with Doctor Sara Edwards on
041039 - adding PRP treatments at the VA. ref SDS 62 FN8M
041041 - ..
041042 - On 181210 1030 3rd of 3 Supartz injections - meeting with Gina at VA
041043 - Clinic in Santa Rosa; Gina made final injection of Supartz into both
041044 - knees to complete 3 injection series. ref SDS 63 CJ98
041046 - ..
041047 - On 181212 1600 6th PRP injection treatment - meeting Doctor Tucker
041048 - injected PRP into both feet and both knees. ref SDS 64 0001
041050 - ..
041051 - On 190327 0915 meeting at VAMCSF Doctor Sara Edwards offered to
041052 - perform PRP injection treatment for both knees and right elbow.
041053 - ref SDS 73 YM90 Expect work to be performed in about 4 weeks.
041054 - ref SDS 73 T13O
041056 - ..
041057 - On 190329 0905 letter to Jane asks for earlier date for PRP treatment
041058 - if there is a cancellation. ref SDS 78 V54H
041060 - ..
041061 - On 190329 0905 at 1127 letter from Jane saying she forwarded the
041062 - letter to Lance, who schedules PRP procedures. ref SDS 78 VN3H
041064 - ..
041065 - On 190403 1000 Doctor Tucker has not received documentation of an
041066 - order for PRP care, nor establishing payment process, so paid for 7th
041067 - PRP set of injections, by cash. ref SDS 79 V66K
041069 - ..
041070 - On 190411 130912 VA Orthopedics visit Lance to schedule PRP ordered by
041071 - Doctor Edwards on 190327. ref SDS 80 V54H
041073 - ..
041074 - On 190418 150449 VA Orthopedics letter to Lance requesting time and
041075 - location for PRP on 190425. ref SDS 81 V54H Received response from
041076 - Lance saying ASU will call on 190424 OA 1400 to advise instructions on
041077 - reporting for PRP treatment the next day. ref SDS 81 3A6N
041079 - ..
041080 - On 190423 0931 received call from Rachael in VAMCSF Orthopedics
041081 - scheduling post-procedure review of PRP on 190425, with Doctor Edwards
041082 - on 190522 0900. 190423 0931, ref SDS 83 JL4J
041084 - ..
041085 - On 190424 1515 Lance called with VAMCSF Orthopedics, and said PRP
041086 - scheduled tomorrow on 190425, was cancelled in a staff meeting the day
041087 - before on 190423, by Chiefs of Orthopedics and Surgery, ref SDS 84
041088 - V54H, who were unfamiliar with "science" of PRP, and were unfamiliar
041089 - with patient strong response to treatment with PRP the past 2 years.
041090 - ref SDS 84 E647
041092 - ..
041093 - On 190424 1515 at 1531 called Jane - she scheduled meeting with Doctor
041094 - Edwards on 190517 0845. ref SDS 84 E66G
041096 - ..
041097 - On 190425 0844 letter to Doctor Edwards confirms understanding that
041098 - PRP treatment she schedule for today, was cancelled. ref SDS 85 V54H
041099 - Radiology history with MRI studies show significant injuries to feet
041100 - and knees, which responded well to treatment with PRP injection
041101 - therapy. ref SDS 85 NQ6X
041103 - ..
041104 - On 190513 1017 letter to Doctor Tucker on scope PRP treatment
041105 - scheduled for 190517. 190513 1017, ref SDS 87 6N6L
041107 - ..
041108 - On 190514 1043 received call from Joseph in Orthopedics at VAMCSF - he
041109 - changed schedule for meeting Doctor Edwards from 190515, to 190529
041110 - 0900. ref SDS 88 JL4J Later Jane called and after discussion
041111 - confirmed meeting with Doctor Edwards on 190529 0900; she said it was
041112 - a doublebook, so there may be some wait. ref SDS 88 NY6J
041114 - ..
041115 - On 190515 1400 Doctor Tucker provided 8th PRP treatment for left feet,
041116 - left knee, left shoulder. ref SDS 90 LO4O
041118 - ..
041119 - On 190517 0845 meeting Doctor Thuillier discussed referral to Doctor
041120 - Tucker through Veterans Choice for PRP treatment injured right
041121 - trapezius. ref SDS 92 SV8H Doctor will issue request for Patient
041122 - Choice to order PRP treament for knee. ref SDS 92 O45N Doctor
041123 - Thuillier will coordinate with Doctor Edwards on having Patient Choice
041124 - issue order for Doctor Tucker to perform PRP on feet, since Doctor
041125 - Tang in Podietry referred feet care to Doctor Thuillier. ref SDS 92
041126 - CH7M
041128 - ..
041129 - On 190524 1048 letter to Doctor Tucker transmit letter to Doctor
041130 - Thuillier on requirement for VA to order PRP treatment based on record
041131 - of favorable outcome reported by Doctor Simpson. ref SDS 95 V54H
041133 - ..
041134 - On 190529 1040 met with Doctor Sara Edwards in Module 2, VAMCSF.
041135 - ref SDS 96 V54H She made extensive presentation to provide PRP at
041136 - VAMCSF, which was denied. ref SDS 96 PJ5F Sara was not aware Doctor
041137 - Simpson, Director of Cardiology Research at VAMCSF reported in
041138 - Progress Notes that patient improved cardiology metrics as a result of
041139 - PRP treatments, so this was not included in her presentation.
041140 - ref SDS 96 YX68 The doctor who denied approval for Sara to perform PRP
041141 - treatment at VAMCSF, recommended patient get PRP care in clinical
041142 - trial at VAMC in Palo Alto. ref SDS 96 Y53I Ordered orthopedics
041143 - treatment with Doctor Tucker through Veterans Choice program.
041144 - ref SDS 96 IH5S
041146 - ..
041147 - On 190530 1237 letter to Jane in Orthopedics at VAMCSF asking her to
041148 - schedule meeting with Doctor Chu who runs clinical trial for PRP at
041149 - VAMC in Palo Alto. ref SDS 98 V54H
041151 - ..
041152 - On 190604 2130 letter to Doctor Thuillier requesting meeting on 190607
041153 - 0800 for ordering xray on left knee, requested by Doctor Tucker.
041154 - ref SDS A1 V54H Reference prior xray on 190327, which was reviewed by
041155 - Doctor Edwards, when she ordered PRP. ref SDS A1 XO55 About 4 weeks
041156 - after xray on 190327, left knee began buckling, shown in case study on
041157 - diet, medication, exercise, and vitals. ref SDS A1 XO58
041159 - ..
041160 - On 190607 0717 met Doctor Thuillier as he was walking into building
041161 - 200, on his way to work in Orthopedics Department on 2nd floor. He
041162 - plans to order xray of left knee, as requested by Doctor Tucker, and
041163 - mentioned again in the letter on 190604. ref SDS A2 V54H,
041165 - ..
041166 - On 190607 0810 meeting VAMCSF Radiology Department performed bilateral
041167 - xray both knees. ref SDS A4 PT9V
041169 - ..
041170 - On 190611 1442 letter to Doctor Tucker advise will submit CD with xray
041171 - of both knees during meeting tomorrow for PRP treatment. ref SDS A7
041172 - V54H Left knee improved after having report elevated pain in letter
041173 - on 190531, ref SDS A7 3357, showing PRP on 190515 taking effect.
041174 - ref SDS A7 3357 Have not taken naproxen nor other NSAID for over a
041175 - week, per PRP protocol. ref SDS A7 JH7M Left shoulder seems improved
041176 - since PRP on 190515. ref SDS A7 336S
041178 - ..
041179 - On 190612 1100 10th PRP treatment Doctor Tucker. ref SDS A8 0001
041181 - ..
041182 - On 190614 0938 letter to Doctor Tucker reporting terrific PRP
041183 - treatment on 190612, ref SDS A9 V54H; request progress notes present
041184 - number and location of PRP injections in left knee. ref SDS A9 R596
041186 - ..
041187 - On 190615 0827 received another letter from the doctor's office saying
041188 - she will not address issues presented in the letter sent earlier
041189 - today, per above, ref SDS A9 R596, and because she sees no reason for
041190 - such edits. ref SDS A0 V54H
041192 - ..
041193 - On 190615 0827 at 0841 sent letter to Gloria requesting progress notes
041194 - for PRP treatment on 190612, and noting she performed terrific,
041195 - exceptional work. ref SDS B0 2F7F
041196 -
041197 -
041198 -
041199 -
041200 -
041201 -
041202 -
041204 - ..
0413 -
0414 -
0415 - Progress
0416 -
041601 - Submitted letter to Doctor Tucker saying...
041602 -
041603 - 1. Subject: Planning 10th PRP Treatment Today 1100
041604 - Date: 2019-08-16, 09:33
041608 - ..
041609 - 2. Dear Gloria,
041611 - ..
041612 - 3. On 190612, you performed 9th PRP procedure for metatarsalgia in
041613 - both feet and osteoarthritis in both knees, using approximately
041614 - 15 injections. There has been good response enabling daily
041615 - hikes of 11 - 20+ miles, including test hike on Half Dome trail
041616 - in Yosemite. As we did last year on 180824, later today you
041617 - will provide another PRP treatment to complete training and
041618 - then hike to the top of Half Dome scheduled in 3 weeks on
041619 - 190911. Hoping treatment today, will last past January 2020.
041621 - ..
041622 - 4. Objectives for treatment today include...
041623 -
041624 - 1. Right knee has responded well expressing pain level 0 since
041625 - prior PRP on 190612.
041626 -
041627 - 2. Left knee, within a few weeks after PRP on 190612, there is
041628 - varying pain after 5+ miles on daily hikes. Sometimes
041629 - recognize pain below and occasionally above patella.
041630 - Mostly feel pain within the joint, more severe on the
041631 - lateral meniscus. This has been managed with oxycodone,
041632 - hydrocodone and naproxen medication. These pain pills are
041633 - alternated to avoid dependence on a single medication. You
041634 - can see from the chart that pills are not taken every day,
041635 - except the past few weeks, there has been increased
041636 - reliance on medication. As well, added Glucosamine
041637 - Chondroitin the past week or so to get through daily
041638 - hikes...
041640 - ..
041641 - Date (Year, month, day)
041642 - 190613...none.................................
041643 - 190614...none.................................
041644 - 190615...none.................................
041645 - 190616...none.................................
041646 - 190617...none.................................
041647 - 190618...none.................................
041648 - 190619...none.................................
041649 - 190620...none.................................
041650 - 190621...none.................................
041651 - 190622...Hydrocodone 5 mg.............. ......
041652 - 190623...none.................................
041653 - 190624...Hydrocodone 5 mg.............. ......
041654 - 190625...none.................................
041655 - 190626...Hydrocodone 5 mg.....................
041656 - 190627...none.................................
041657 - 190628...none.................................
041658 - 190629...none.................................
041659 - 190630...Hydrocodone 5 mg.....................
041660 - 190701...Naproxen 250 mg 1 pill...............
041661 - 190702...none.................................
041662 - 190703...Hydrocodone 5 mg.....................
041663 - 190704...none.................................
041664 - 190705...Hydrocodone 5 mg after hike..........
041665 - 190706...none.................................
041666 - 190707...none.................................
041667 - 190708...none.................................
041668 - 190709...none.................................
041669 - 190710...none.................................
041670 - 190711...none.................................
041671 - 190712...none.................................
041672 - 190713...Hydrocodone 5 mg after hike..........
041673 - 190714...none.................................
041674 - 190715...none.................................
041675 - 190716...none.................................
041676 - 190717...Hydrocodone during and after hike....
041677 - 190718...Naproxen 250 mg 2 pills..............
041678 - 190719...Hydrocodone after hike...............
041679 - 190720...none.................................
041680 - 190721...none.................................
041681 - 190722...none.................................
041682 - 190723...none.................................
041683 - 190724...none.................................
041684 - 190725...none.................................
041685 - 190726...none.................................
041686 - 190727...none.................................
041687 - 190728...Hydrocodone before hike..............
041688 - 190729...Hydrocodone before hike..............
041689 - 190730...Naproxen 250 mg 2 pills..............
041690 - 190731...none.................................
041691 - 190801...Naproxen 250 mg 1 pill...............
041692 - 190802...Naproxen 250 mg 1 pill...............
041693 - 190803...none.................................
041694 - 190804...Naproxen 250 mg 1 pill...............
041695 - 190805...Naproxen 250 mg 2 pills..............
041696 - 190806...none.................................
041697 - 190807...none.................................
041698 - 190808...none.................................
041699 - 190809...none......Glcsmn Chdrtn..............
041700 - 190810...none......Glcsmn Chdrtn..............
041701 - 190811...Naproxen 250 mg 2 pills.&.GC.........
041702 - 190812...none......Glcsmn Chdrtn..............
041703 - 190813...none.................................
041704 - 190814...none......Glcsmn Chdrtn..............
041705 - 190815...none......Glcsmn Chdrtn..............
041706 - 190816...oxycodone............................
041708 - ..
041709 - Left knee responded well to PRP treating pain behind the
041710 - knee joint. This has not recurred. Similarly, there is no
041711 - more sensation that left leg femur is sliding forward off
041712 - the knee joint, when hiking down hill.
041714 - ..
041715 - 5. Naproxen was stopped on 190812, complying with protocol for
041716 - pausing NSAID medications prior to PRP treatment.
041718 - ..
041719 - 6. Took oxycodone this morning, to prepare for injections you will
041720 - do beginning about 1130. This worked well easing pain for
041721 - previous injections on 190612.
041723 - ..
041724 - 7. Feet have responded well to PRP - right foot long toe plantar
041725 - plate tear healed, so pain level 0. Right foot Hallux Valgus
041726 - has straightened. Tailor's bunion left foot has been pain
041727 - level 0 since using ultrasound guided PRP injections on 190612.
041728 - Tailor's Bunion right foot expresses occasional pain level 2 on
041729 - long hikes 15+ miles. [...burning sensation bottom right foot
041730 - has completely ended for past few months; and peripheral
041731 - neuropathy previously associated with taking atorvastatin
041732 - cardiology medication, has not recurred also for several
041733 - months, see chart in the record on 190101 0730. ref SDS 65
041734 - PXSS...] Today, would like to inject metatarsals, as we have
041735 - been doing to maintain pain free hiking.
041737 - ..
041738 - 8. Look forward to your examination and discussion of work plan
041739 - for PRP care today.
041741 - ..
041742 - Sincerely yours,
041744 - ..
041745 - Rod
041746 - ...0144
041747 - 925 787 5641
041748 -
041749 -
041750 -
041751 -
041752 -
041753 -
041754 -
041755 -
041756 -
041757 -
041758 -
0418 -
Distribution. . . . See "CONTACTS"