THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net
S U M M A R Y
DIARY: May 14, 2009 03:50 PM Thursday;
Rod Welch
Millie meeting review separated shoulder Kaiser Orthopedics Department
1...Summary/Objective
2...Orthopedic Examination Recovery Dislocated Shoulder
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 11 0000. ref SDS 10 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background...
040902 -
040903 - 1. Millie fell and dislocated her shoulder
040904 - at exercise class and was treated
040905 - at Kaiser............................ 090122, ref SDS 1 CW6J
040907 - ..
040908 - 2. Shoulder was restored with
040909 - reduction procedure.................. 090122, ref SDS 1 LV3O
040910 - evaluation examination scheduled in
040911 - Orthopedics 090129 1330.............. 090122, ref SDS 1 HW4H
040913 - ..
040914 - 3. Right eye above brow deep cut
040915 - clean and suture remove stitches
040916 - in Orthopedics Dep................... 090122, ref SDS 1 WX4M
040917 - Special Instructions say remove
040918 - stitehcs in 5
040919 - days................................. 090122, ref SDS 1 4Y5K
040921 - ..
040922 - 4. Eye right brow stitches removed
040923 - from cut............................. 090129, ref SDS 5 01FH
040925 - ..
040926 - 5. Xray shows no fracture and shoulder
040927 - still positioned correctly 7
040928 - days after reduction
040929 - procedure............................ 090129, ref SDS 5 ZF7J
040931 - ..
040932 - 6. Clinical examination testing range
040933 - motion indicates shoulder healing
040934 - normally............................. 090129, ref SDS 5 YU7M
040936 - ..
040937 - 7. Immobilizer was prescribed for 2
040938 - weeks 24-7........................... 090129, ref SDS 5 YU8W
040940 - ..
040941 - 8. Exercises demonstrated for range of
040942 - motion............................... 090129, ref SDS 5 TE5M
040944 - ..
040945 - 9. Lymphedema recurrence on left arm
040946 - from constriction caused by
040947 - immobilizer on right arm, so
040948 - this was removed..................... 090201, ref SDS 7 KN4S
040950 - ..
040951 - 10. Right arm manipulated on 090209 by doctor
040952 - at UCSF for xray and CT scans to plan
040953 - hyperthermia treatment required for
040954 - Millie to recover from cancer
040955 - reported............................. 090212, ref SDS 10 6X9H
040957 - ..
040958 - 11. Orthopedic examination finds progress
040959 - recovering from separated shoulder;
040960 - testing range of motion shows Millie
040961 - ready to continue using sling support;
040962 - begin home exercises and
040963 - schedule physical
040964 - therapy.............................. 090212, ref SDS 10 N259
040966 - ..
040967 - 12. Orthopedic examination finds good progress
040968 - recovery from dislocated right shoulder
040969 - with increased range of motion and
040970 - strength; prescribe Millie to start
040971 - physical therapy at Kaiser
040972 - tomorrow............................. 090303, ref SDS 11 6X9H
040973 -
040974 -
040975 -
040977 - ..
040978 - Orthopedic Examination Recovery Dislocated Shoulder
040979 -
040980 - Follow up ref SDS 11 6X9H, ref SDS 10 6X9H.
040981 -
040982 - Millie reported increased strength, and range of motion resulting from
040983 - physicial therapy ordered during the prior meeting at Kaiser on
040984 - 090303. ref SDS 11 I67G Millie has also been working out in the gym,
040985 - planned during meeting with primary care physician on 090325.
040986 - ref SDS 12 NE8J
040988 - ..
040989 - Laura had Millie perform range of motion tests moving her arm and
040990 - fingers in various ways, similar to examination on 090303. ref SDS 11
040991 - 6X9H She feels Millie demonstrates today rapid recovery from severe
040992 - separation, and so Millie is ahead of schedule compared to other
040993 - patients with similar injuries.
040995 - ..
040996 - Laura asked about pain?
040998 - ..
040999 - Millie said that since ending treatments on 090317 with radiation and
041000 - hyperthermia that were very uncomfortable, pain in the upper right arm
041001 - and shoulder have substantially subsided, following the report on
041002 - 090303. ref SDS 11 6H48 There is still some tenderness in the
041003 - shoulder with some movements.
041005 - ..
041006 - Laura wants to monitor the condition for another month. She explained
041007 - that cortisone injection can sometimes aid recovery enabling patients
041008 - to exercise that otherwise causes slight pain. Laura scheduled
041009 - Millie's next visit in June, and will arrange to conduct the
041010 - examination for continuity of care assessing need for cortisone.
041011 -
041012 -
041013 -
041014 -
041015 -
041016 -
041017 -
041018 -
0411 -