CONTACTS 

SUBJECTS
Lymphedema Physical Therapy Left Axillary and Arm Wrist Hand Symptom

0803 -
0803 -    ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 8 0000, ref SDS 6 0000.
080502 -
080503 -
080504 -
080505 -
080506 -
080508 -  ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Physical Therapy Lymphedema Personal Treatment
080902 -
080903 - Follow up ref SDS 8 Q05H, ref SDS 6 Q05H.
080904 -
080905 - Millie had a follow up meeting today at Kaiser Park Shadelands,
080906 - implementing planning on 060314, when Millie was treated with physical
080907 - therapy. ref SDS 8 Q05H
080909 -  ..
080910 - Millie reported generally decreased symptoms of lymphedema although
080911 - there has been fluctuation and symptoms remain, reported on 060405.
080912 - ref SDS 11 HO7F  On 060320 Millie commended Mary's work in a letter to
080913 - Kaiser. ref SDS 8 ET56
080915 -  ..
080916 - The therapyst took measurements and found significant improvement from
080917 - the prior examination 060314. ref SDS 8 GE89
080919 -  ..
080920 - Discussion today of symptoms aligned with analysis on 060306.
080921 - ref SDS 6 J34I, citing removal of lymph nodes in connection with
080922 - surgery on 051021 as causing the sudden rise of symptoms. ref SDS 2
080923 - QU5I and ref SDS 2 MM6M  Millie's letter on 060320 to primary care
080924 - physician requests meeting with surgeon to review work on 051021 for
080925 - clues about treatment. ref SDS 9 VR6M
080927 -  ..
080928 - Mary clarified self-treatment guideance presented on 060314.
080929 - ref SDS 8 KO92
080931 -  ..
080932 - Mary indicated that exercise can be tried without a bandage, and if
080933 - swelling occurs, then use the bandage, as recommended in published
080934 - guidance reported on 060306. ref SDS 6 Q155
080935 -
080936 -
080937 -
080938 -
0810 -

SUBJECTS
Lymphedema Symptoms Escalation Prevent Health Practices Skin Care Re
Alcoholic Beverages Lymphedema Drink Moderately Avoid Stress to Tiss

1104 -
110501 -  ..
110502 - Skin Care Lymphedema Published Guidance
110503 - Lymphedema Health Practices Prevent Escalation of Symptoms
110504 -
110505 - Millie found research on the Internet for treatment...
110506 -
110507 -              http://www.breastcancer.org/lymphedema_avoid.html
110508 -
110509 -    1.  Skin care is your first line of defense. Since the skin acts
110510 -        as a barrier to infection, any disruption of the skin can
110511 -        spell trouble. Burns, chafing, dryness, cuticle injury (such
110512 -        as hangnails), cracks, cuts, splinters, and insect bites are
110513 -        immediate risks for infection.
110514 -
110515 -        a.  fever Learn to recognize the signs of infection:
110516 -        b.  redness
110517 -        c.  swelling, warmth, or tenderness in the at-risk arm
110519 -         ..
110520 -    2.  Infection and inflammation can escalate quickly.  Redness,
110521 -        tenderness, and warmth can spread from the injury up your arm.
110522 -        Call your doctor as soon as you suspect infection.  You may
110523 -        need to start antibiotics immediately with any early sign of
110524 -        trouble.  If you already have swelling, or if you have diabetes
110525 -        (whether or not you have swelling) you may need antibiotics
110526 -        after just the smallest of injuries-even without any sign of
110527 -        trouble.
110529 -         ..
110530 -    3.  Moisturize skin frequently and regularly.  Use lotions such as
110531 -        Moisturel, Eucerin, Vaseline Intensive Care, or your own
110532 -        favorite brand to make your skin supple and prevent it from
110533 -        cracking.
110535 -         ..
110536 -    4.  Clean your hand and arm extra-clean, but don't use harsh soaps
110537 -        such as Ivory (despite Ivory's advertised image as a gentle
110538 -        soap) or Dial. Use Dove instead.
110540 -         ..
110541 -    5.  Rubber gloves when you wash dishes or hand-wash clothes.
110543 -         ..
110544 -    6.  Protective gloves when you garden or do outside chores.
110546 -         ..
110547 -    7.  Rest breaks when scrubbing, mopping, cleaning, or while doing
110548 -        other vigorous or repetitive activities, especially if your arm
110549 -        feels tired, heavy, or achy.
110551 -         ..
110552 -    8.  Oven mitts when handling hot foods.
110554 -         ..
110555 -    9.  Electric razor instead of a safety razor.
110557 -         ..
110558 -   10.  Insect repellents that won't dry out the skin, such as Avon's
110559 -        Skin-So-Soft, which actually moisturizes the skin.  Avoid
110560 -        brands that contain a significant amount of alcohol. (Any
110561 -        ingredient that ends in "ol" is a type of alcohol.)
110563 -         ..
110564 -   11.  Antibiotic ointment (like Bactroban) to any insect bites or
110565 -        torn cuticles (as long as you are not allergic to its
110566 -        contents).
110568 -         ..
110569 -   12.  Sunburn avoid with sunscreen.  Use a product with a minimum SPF
110570 -        of 15, although SPF 30 is much better.
110572 -         ..
110573 -   13.  Thimble when you sew.
110575 -         ..
110576 -   14.  REST your arm in an elevated position.  But don't hold up your
110577 -        arm without support for a long time because your muscles will
110578 -        tire.
110580 -         ..
110581 -   15.  Bandages or a compression sleeve and glove on the affected arm
110582 -        when flying in airplanes (if you already have arm swelling).
110584 -         ..
110585 -   16.  Hot baths or showers avoid.
110587 -         ..
110588 -   17.  Hot to cold water temperatures avoid extreme changes when you
110589 -        bathe or wash dishes.
110591 -         ..
110592 -   18.  High-heat hot tubs, saunas, or steam baths.
110594 -         ..
110595 -   19.  Heating pads or hot compresses avoid on arm, neck, shoulder, or
110596 -        back on the affected side.  Also, be cautious of other
110597 -        heat-producing treatments provided by physical, occupational,
110598 -        or massage therapists, such as ultrasound, whirlpool,
110599 -        fluidotherapy, or deep tissue massage.  Heat and vigorous
110600 -        massage encourage the body to send extra fluid into the
110601 -        compromised area.
110603 -         ..
110604 -   20.  Heavy objects don't carry with your at-risk arm, especially
110605 -        with the arm hanging downward.
110607 -         ..
110608 -   21.  Heavy shoulder bags avoid on the affected side.
110610 -         ..
110611 -   22.  Clothing that has tight sleeves or that restrains
110612 -        movement avoid.
110614 -         ..
110615 -   23.  This seems conflicting with requirement to wear a bandage all
110616 -        day long.
110618 -         ..
110619 -   24.  Watch and jewelry wear on your hand and arm not afflicted with
110620 -        lymphedema.
110622 -         ..
110623 -   25.  Breast prosthesis after mastectomy avoid heavy, use lightweight
110624 -        model.  Heavy element may put excessive pressure on alternative
110625 -        routes of lymphatic drainage that are already doing double
110626 -        duty.
110628 -         ..
110629 -   26.  Manicures that cut or overstress the skin around the
110630 -        nails avoid.
110632 -         ..
110633 -   27.  Blood pressure testing on your arm not afflicted with
110634 -        lymphedema.  If you've had breast cancer in both breasts, ask
110635 -        that your blood pressure be tested on your thigh.  If this is
110636 -        not possible, ask that the person measuring your blood pressure
110637 -        inflate the cuff only slightly above your normal systolic
110638 -        pressure (the first, higher number of your blood pressure).
110640 -         ..
110641 -   28.  Skin avoid punctures of your at-risk arm: injections, drawing
110642 -        blood, or vaccinations. (Don't trust anyone, not even your
110643 -        personal physician, to remember which is your at-risk arm.) If
110644 -        you've had breast cancer in both breasts along with underarm
110645 -        lymph node dissections, blood should be drawn from another part
110646 -        of your body.  If blood must be drawn from your arm, use your
110647 -        non-dominant arm (your left arm, if you are right-handed; your
110648 -        right arm, if you are left-handed).  If one side had no lymph
110649 -        node dissection, use the arm on that side, regardless of
110650 -        whether it's your dominant arm.
110651 -
110652 -
110653 -
110654 -
1107 -

SUBJECTS
Alcoholic Beverages Lymphedema Drink Moderately Avoid Stress to Tiss

1603 -
160401 -  ..
160402 - Alcoholic Beverages Lymphedema Drink Moderately Avoid Stress to Tissue
160403 -
160404 -
160405 -   29.  Drink alcoholic beverages in moderation.  Alcohol causes blood
160406 -        vessels to expand and leak extra fluid into the tissues.
160407 -
160408 -
160409 -
160410 -
160411 -
1605 -

SUBJECTS
Lymphedema Skin Care Research Found Requirements on Internet
Dental Work Lymphedema Precautions to Prevent Escalating Symptoms

2004 -
200501 -  ..
200502 - Dental Work Lymphedema Precautions to Prevent Escalating Symptoms
200503 -
200504 -
200505 -   30.  Dental procedure may trigger an arm infection.  Work a dentist
200506 -        does in your mouth may increase bacteria in your bloodstream.
200507 -        Talk to your doctor about whether you should take prophylactic
200508 -        (preventive) antibiotics before future dental procedures.
200509 -
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2006 -