THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: October 10, 1988 10:00 AM .......;
Rod Welch
Meeting Dr. Glick re operation for knee.
1...Summary/Objective
2...Knee Joint Compressed; Anthroscopic Survery May Improve Condition
3...Favorable Experience with Procedure and Jim Glick
4...Set operation for tomorrow 0930 - will cost about $4,100
..............
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CONTACTS
0201 - Pacific Orthopaedic Medical Group
020101 - Dr. James M. Glick
SUBJECTS
Personal, Rod Welch
Knee Operation
0404 -
0404 - ..
0405 - Summary/Objective
0406 -
040601 - Follow up ref SDS 1 0000.
040602 -
040603 - Examination shows knee joint is compressed, because cartilage has
040604 - worn. Jim suggests surgery and provided reference on past work.
040605 - Reference indicated Jim's work was fairly successful. Scheduled
040606 - operation for tomorrow. Cost is about $4,100.
040607 -
040608 - [On 881011 operation prformed. ref SDS 2 0001]
040609 -
040611 - ..
0407 -
0408 -
0409 - Progress
041001 - ..
041002 - Knee Joint Compressed; Anthroscopic Survery May Improve Condition
041003 -
041004 - X-Rays showed left leg knee joint is compressed with calcium build up
041005 - on the bone where the cartilage was removed. There is a wide (normal)
041006 - gap on the outside, but the upper bone is angled down to nearly
041007 - touching the lower bone on the inside of the knee joint.
041008 -
041009 - [On 990910 xray looks very similar. ref SDS 3 7388]
041011 - ..
041012 - [On 000124 Doctor Vincent Yamomoto in Orthopedics
041013 - Department at Kaiser in Walnut Creek diagnosed left knee
041014 - degenerative arthritis will continue to worsen, and require
041015 - knee replacement in 5 years. ref SDS 4 HU5O
041017 - ..
041018 - [On 151216 1130 new xray of left leg seems to show even gap
041019 - between the upper and lower leg bones, indicating the
041020 - cartelage has repaired from regimen hiking 11 miles per day
041021 - (10,000 miles past 4 years), with Glucosamine Chondroitine.
041022 - ref SDS 5 GO5K
041024 - ..
041025 - Jim advised my understanding on this was incorrect (I had thought
041026 - there was a calcium buildup on the lower bone which closed the joint,
041027 - based upon discussion with the guys at St Francis Sports Med Center).
041029 - ..
041030 - Jim explained that compression is causing the smooth surface of the
041031 - bone to wear away. Apparently this is the nature of degenerative
041032 - arthritus, rather than a build up of calcium.
041034 - ..
041035 - He advised that more complete diagnostics is accomplished during the
041036 - operation.
041037 -
041038 - [On 881011 operation prformed. ref SDS 2 0001]
041039 -
041041 - ..
0411 -
0412 -
0413 - Arthroscopic surgery
0414 -
041401 - Jim indicated there is a 60% to 70% chance of success. This is
041402 - not a laser technology. Uses a light and camera to show the
041403 - surgeon the condition. A mechanical instrument is used to "clean
041404 - the area."
041405 -
041406 -
041408 - ..
041409 - Favorable Experience with Procedure and Jim Glick
041410 -
041411 - Jim gave me Bill Dunlop's name as a reference for this work.
041412 -
041413 - Jim operated on him in 1983 and again a year or so ago. Bill is back
041414 - playing tennis. Jim and Bill are friends, who used to play tennis
041415 - together.
041417 - ..
041418 - Bill's phone number: H 415 957 1137; W 346 3525
041419 -
041420 -
041421 -
0415 -
0416 -
0417 - 1334 called Bill
0418 -
041802 - ..
041803 - Talked to Bill about 1410 this afternoon. He called me back.
041805 - ..
041806 - Bill had the surgery in 1983. He is playing a little differently
041807 - due to a number of operations he has had. He feels the surgery was
041808 - in the main successful relative to his expectations.
041810 - ..
041811 - His experience is that the body generally heals itself pretty well.
041813 - ..
041814 - In his case, he indicated he has no cartilage in his knees, yet he
041815 - is still able to get around without pain in his knees. He cannot
041816 - accelerate using a driving motion like I do from the toes. Bill did
041817 - not attribute all of this to the knee operation, since he has had
041818 - foot, ankle, and back operations as well as knee surgery.
041819 -
041820 -
041822 - ..
0419 -
0420 - 1354 called Jim back
0421 -
042101 - Set operation for tomorrow 0930 - will cost about $4,100
042102 -
042103 - Initially set the operation for Thursday.
042104 -
042105 - Jim indicated I should be able to return to Montana for light duty on
042106 - Monday. He has an opening for tomorrow due to a cancellation, and so
042107 - asked if I would take that time slot. I said no, but he wanted to do
042108 - it tomorrow, so finally I agreed. This will provide a little more
042109 - time to recuperate before returning to the job.
042111 - ..
042112 - Jim took preliminary data for operation (pulse, blood pressure,
042113 - medical history).
042115 - ..
042116 - May need crutches.
042118 - ..
042119 - Need Millie to bring me home.
042121 - ..
042122 - Called her at work and set it up.
042124 - ..
042125 - Will cost from $2,000 to $2,500 plus $1,600 for hospital services.
042127 - ..
042128 - Have to pay hospital $800 in advance, this afternoon.
042130 - ..
042131 - Jim said we could work out reasonable terms for payment.
042132 -
042133 -
042134 -
042135 -
042136 -
042137 -
0422 -
Distribution. . . . See "CONTACTS"