043570 -
043571 -
043572 -
043573 -
043574 -
043576 - ..
0436 -
0437 -
0438 - 1300
0439 -
043901 - Numbing Agent and Lidocane Injections Numb PRP Injection Sites
043902 -
043903 - Follow up ref SDS B6 MN4K.
043904 -
043905 - Numbing agent was sprayed on injection sites, which were then further
043906 - numbed with lidocaine injections...
043907 -
043908 -
043910 - ..
043911 - 
043912 -
043913 -
043915 - ..
043916 - 
043917 -
043918 -
043920 - ..
043922 - 
043923 -
043924 -
043926 - ..
043927 - 
043928 -
043929 -
043931 - ..
043932 - 
043933 -
043934 -
043936 - ..
043937 - 
043938 -
043939 -
043941 - ..
043943 - 
043944 -
043945 -
043947 - ..
043948 - Antiseptic was applied at each injection site.
043950 - ..
043951 - Injecting lidocaine into the knees is about pain level 2 - noticable,
043952 - but easily tolerated.
043953 -
043954 -
043955 -
043957 - ..
0440 -
0441 -
0442 - 1316
0443 -
044301 - PRP Injections
044302 -
044303 - Follow up ref SDS B6 LO4O, ref SDS A8 LO4O.
044304 -
044305 - After all sites were marked and numbed with spraying agent and
044306 - lidocane, and after the centrifuging process completed, the doctor
044307 - made PRP injections.
044309 - ..
044310 - Left Shoulder Injections
044311 -
044312 - Follow up ref SDS B6 M23O, ref SDS A8 M23O.
044313 -
044314 - Injections......................................... 0
044315 -
044316 -
044317 -
044319 - ..
044320 - Right Elbow
044321 -
044322 - Follow up ref SDS B6 5M5I.
044323 -
044324 - Injections......................................... 0
044325 -
044326 -
044328 - ..
044329 - Trapezius right side
044330 -
044331 - Follow up ref SDS B6 SB5J, ref SDS A8 SB5J.
044332 -
044333 - Injections......................................... 0
044334 -
044335 -
044336 -
044338 - ..
044339 - Right Knee
044340 -
044341 - Follow up ref SDS B6 GE9L, ref SDS A8 GE9L.
044342 -
044343 - Knee joint............................................ 0
044344 -
044345 -
044347 - ..
044348 - Left Knee
044349 -
044350 - Follow up ref SDS B6 TF4H, ref SDS A8 TF4H.
044351 -
044352 - Knee joint............................................ 7
044354 - ..
044355 - The doctor seemed to make 4 injections on left side of left knee,
044356 - including intra articular into the meniscus...
044357 -
044358 - [On 190926 1047 letter to Doctor Tucker reports more pain
044359 - and stiffness in left knee after PRP treatment today,
044360 - compared with prior 10 PRP treatments. ref SDS C2 WZ9R
044362 - ..
044363 - [On 190930 0932 letter reports left knee remains swollen 5
044364 - days after PRP treatment on 190925, which is more than has
044365 - occurred for prior 10 PRP treatments. ref SDS C5 V54H
044366 -
044367 -
044368 - 
044369 -
044370 -
044372 - ..
044373 - 
044374 -
044376 - ..
044377 - All pain level 0, except intra articular injection into lateral
044378 - meniscus was pain level 5, seemed to be deeper into the joint today.
044379 -
044380 -
044382 - ..
044383 - Seemed to be 1 injections below patella on front of knee...
044384 -
044385 -
044386 -
044387 - 
044388 -
044389 -
044391 - ..
044392 - Another injection was on top of the knee cap.
044393 -
044394 -
044395 -
044396 -
044398 - ..
044399 - All pain level 0.
044400 -
044402 - ..
044403 - Seemed to be 3 intra articular injection into medial meniscus of left
044404 - knee...
044405 -
044407 - ..
044408 -
044409 -
044410 -
044412 - ..
044413 - Pain level 0.
044414 -
044415 -
044416 -
044417 - Back of knee ACL and PCL............................... 1
044418 -
044419 - [On 190926 1047 letter to Doctor Tucker reports more pain
044420 - and stiffness in left knee after PRP treatment today,
044421 - compared with prior 10 PRP treatments. ref SDS C2 WZ9R
044422 -
044424 - ..
044425 - 
044426 -
044428 - ..
044429 - All pain level 0.
044431 - ..
044432 - The next day on 190926, left knee was considerably swollen, more than
044433 - with prior PRP treatments for left knee...
044434 -
044435 -
044436 - 
044437 -
044438 -
044439 -
044441 - ..
044442 - Right Foot
044443 -
044444 - Follow up ref SDS B6 0108, ref SDS A8 0108.
044445 -
044446 - Metatarsalgia
044447 - Between little toe and ring toe................. 0
044448 - Between ring toe and middle toe................. 0
044449 - Between middle and long toe..................... 0
044450 - Between long toe and big toe.................... 0
044452 - ..
044453 - All pain level 2.
044454 -
044456 - ..
044457 - Tailor's bunion................................. 0
044459 - ..
044460 - Total right foot............................... 0 0
044461 -
044462 -
044464 - ..
044465 - Left Foot
044466 -
044467 - Follow up ref SDS B6 YY3G, ref SDS A8 YY3G.
044468 -
044469 - Metatarsalgia
044470 - Between little toe and ring toe................. 0
044471 - Between ring toe and middle toe................. 0
044472 - Between middle and long toe..................... 0
044473 - Between long toe and big toe.................... 0
044474 -
044476 - ..
044477 - All pain level 0.
044478 -
044479 -
044481 - ..
044482 - Tailor's Bunion................................. 0
044483 -
044485 - ..
044486 - Total left foot................................ 0 0
044487 -
044489 - ..
044490 - Total PRP injections.................................. 8
044491 -
044492 -
044493 -
044513 - ..
044514 - Next PRP treatment is scheduled on 191009 1500. A 3rd treament is
044515 - scheduled on 191021 1100, if needed. Will confirm this based on
044516 - results after the treatment on 191009.
044517 -
044518 -
044519 -
044542 -
044543 -
044544 -
044545 -
0446 -
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 B6 JS8O, ref SDS A8 JS8O.
050405 -
050406 - Received letter from Doctor Tucker transmitting her Progress Notes for
050407 - the procedure today, reported a few weeks later reported on 191004
050408 - 1116. ref SDS C6 GS7J
050410 - ..
050411 - Stored Doctor Tucker's Progress Notes in...
050412 -
050413 - F:\05\00003\SM\CC\AGMJ\20190925-133000\rod_sep_2019.docx
050415 - ..
050416 - 1. Gloria Tucker MD
050417 - Diplomatic American College of Sports Medicine
050418 - 250 Bel Marin Keys Boulevard, Building G Suite 1
050419 - Novato, CA 94949
050420 - 415 506 4907
050421 - NPI:1265516231
050423 - ..
050424 - Rod Welch
050426 - ..
050427 - 2. Date....................................... September, 25, 2019
050429 - ..
050430 - S: Here for pain in his left knee. 1 month after treatment
050431 - with PRP, he hiked nearly to the top of Half Dome. And about
050432 - 1 week after that, he began having pain in his left knee, and
050433 - for this pain he takes glucosamine/chondroitin sulfate, and
050434 - sometimes narcotic pain medication. He says the pain is in
050435 - the anterior knee and also deep in the knee and on the medial
050436 - side of the knee.
050437 -
050438 - [On 191005 1227 request for clarification on scope of PRP
050439 - required. ref SDS C7 O552
050441 - ..
050442 - Of note, he has no further pain in his feet since his last
050443 - course of PRP.
050445 - ..
050446 - 3. Examination: Left knee: Minimal effusion, TTP at the posterior
050447 - medial joint line, and although he is not in pain now his
050448 - typical pain is at the distal patellar pole, tibial tubercle,
050449 - anterior knee, and lateral joint line.
050451 - ..
050452 - Bilateral feet are not tender at his MTPs. Or his tailor's
050453 - bunions.
050455 - ..
050456 - Review of his x-ray shows narrowing at the medial aspect of
050457 - his left knee with mild to moderate osteoarthritis in the
050458 - retropatellar region.
050460 - ..
050461 - 4. Plan: PRP to his left knee only.
050462 -
050463 - Gloria Tucker, MD
050465 - ..
050466 - 5. Procedure: 180 cc of blood was aspirated from his left
050467 - anti-cubital fossa. This was centrifuged and buffered with
050468 - sodium bicarbonate and activated with calcium chloride . After
050469 - numbing the medial retinaculum entry sites, tibial tubercle,
050470 - distal pole of the patella, anterior joint line, medial joint
050471 - line, intra-articular entry site, and posterior lateral joint
050472 - line with 1% lidocaine, we then injected with PRP. He
050473 - tolerated the procedure well. I will see him back in 3 to 4
050474 - weeks for a repeat round of injections to his left knee.
050476 - ..
050477 - Gloria Tucker, MD
050478 -
050479 -
050480 -
050481 -
050482 -
050483 -
050484 -
050485 -
050486 -
050487 -
050488 -
050489 -
050490 -
0505 -