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 14, 1988 09:15 AM .......; Rod Welch

Follow up examination on knee operation, Dr. Jim Glick.

1...Summary/Objective


..............
Click here to comment!

CONTACTS 
0201 - O-0400 0101 Pacific Orthopedic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
020101 - Dr. James M. Glick, 

SUBJECTS
Personal, Rod Welch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
Knee Operation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0404 -    ..
0405 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040601 - Follow up ref SDS 3 0001, ref SDS 2 0001.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040603 - Advised Jim that the knee is much better than yesterday.  Explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040604 - the pain and difficulty in lifting it at all, that I had yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040605 - Had to use crutches all day yesterday.  Today the swelling is down and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040606 - I am able to walk around (slowly) without crutches.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040608 -     [On 881014 report of pain. ref SDS 5 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040610 -      ..
040611 -     [On 881105 tried running. ref SDS 6 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040613 -      ..
040614 -     [On 881108 ran about 1 mile. ref SDS 7 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040619 -  ..
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Findings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Jim said during the operation he found two separate tears in different                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040902 - cartilage members.  He repaired these.  He also found a missing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040903 - ligiment.  It was likely removed during the first surgery in 1973.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040905 -     [On 881128 Jim explains further findings and scope of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040906 -     operation. ref SDS 8 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040909 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 - Exercising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041201 - Should be performed with leg straight and lift approximately 6" to 12"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041202 - and hold for a 6 count.  Then relax for 3 seconds.  Do 20 reps as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041203 - often as possible during the day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041205 -  ..
041206 - No knee bends of any kind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041208 -  ..
041209 - I still wonder if it is possible to build the muscle to the point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041210 - where I can put some weight on the knee in the bending position?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041212 -            [On 881014 later this evening, report of increased pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041213 -            ref SDS 5 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041215 -  ..
041216 - Jim feels I can play tennis and jump around to the extent necessary to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041217 - play more or less normally.  I explained there is some jumping in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041218 - serve.  He feels there really shouldn't be, since more power is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041219 - generated by pushing off into the ball, and gave as an example                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041220 - McEnroe.  Since I use a similar motion, it appears this may be okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041222 -  ..
041223 - Wonder how I should handle stairs.  Can these be used as an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041224 - alternate exercise to knee bends?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041226 -  ..
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0414 - Follow up visit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
0415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041501 - Jim wants to see me again.  I will be in town Thanksgiving weekend, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041502 - we set Monday, 881128.  I will contact his appointment secretary to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041503 - set a time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041505 -  ..
041506 - Dr. Glick exam 881228.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041509 -  ..
0416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0417 - Payment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
0418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041801 - Jim will send me an invoice.  He thinks the cost for his time will run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041802 - closer to $2,500.  I asked if I could pay this in $500 monthly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041803 - amounts, and he said it would be okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041805 -  ..
041806 - Should get billing from Dr. Glick.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
Distribution. . . . See "CONTACTS"