CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 4 0000.
040502 -
040503 -
040504 -
040506 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Robin called yesterday on Sunday afternoon, and said she changed her
040902 - mind about visiting here at Bob's on Sunday. She had a difficult day,
040903 - and needs to do chores at home.
040905 - ..
040906 - In that call yesterday, talked with Robin for 30 minutes. She wants
040907 - to have dinner with me tomorrow evening (which is now today). Robin
040908 - proposed driving here to pick me up. This seems awkward for us to go
040909 - to dinner and not include Bob.
040911 - ..
040912 - After the call, explained Robin's plan for today.
040914 - ..
040915 - Bob then said that since mother died four (4) years ago on 070205
040916 - 0537, ref SDS 1 0001, Robin has been to the house a total of 3 times.
040917 - That seems incredible, since Robin used to visit 3 or more times a
040918 - week for the 10 years mother and Bob have lived in Nipomo.
040919 -
040920 - [On 110919 1800 discussed with Robin post-surgery care for
040921 - Bob. ref SDS 5 648J
040923 - ..
040924 - As a result, yesterday evening suggested we go to dinner at the
040925 - Mexican restaraunt Bob discussed on Saturday, reported on 110917 1420.
040926 - ref SDS 4 S1CF
040928 - ..
040929 - Bob agreed, and dressed for dinner. He was putting the dog, Sandy,
040930 - outside, but, Sandy, with great exuberance jumped up on Bob to be
040931 - petted, and crashed against Bob's sore knee nearly causing him to fall
040932 - to the ground. He screamed in pain, but I caught him to prevent
040933 - severe injury.
040935 - ..
040936 - This activity with a big, exuberant dog shows how Bob's legs got all
040937 - scratche up, and look so bad with bloody sores, reported on Saturday,
040938 - on 110917 1420. ref SDS 4 JG7F
040939 -
040940 - [...below on 110919 0911 at 1519 Bob called a dog care
040941 - service to have Sandy's claws cut. ref SDS 0 PSRP
040943 - ..
040944 - [On 110920 1407 letter to Robin reports discussing with Bob
040945 - wearing jeans, suggested by Robin to reduce risk of further
040946 - scratches from the dog, ref SDS 7 487Y; also reported Bob
040947 - scheduled Sandy to have claws cut, but this may not prevent
040948 - additional serious injury that further delays his surgery.
040949 - ref SDS 7 488U
040951 - ..
040952 - This morning, offered to take Bob to the store to get anything he
040953 - might need, and minimize his driving exposure.
040955 - ..
040956 - Bob said he doesn't need anything today, and that he can still drive
040957 - and handle groceries.
040959 - ..
040960 - This seems unrealistic based on his extreme difficulty walking barely
040961 - shuffeling around the house using cane, getting in and out of the car.
040962 - Seems that carrying anything would be impossible.
040963 -
040964 -
040965 -
040967 - ..
0410 -
0411 -
0412 - 1027
0413 -
041301 - Bob received a call from a friend, possibly prior colleague at AAA,
041302 - where he worked for 30 years or so. Actually, this was a friend
041303 - from Bob's gym where he works out.
041305 - ..
041306 - His friend was aware Bob has pending knee surgery, and told Bob to
041307 - call when he is in the hospital, so that his friend and wife can
041308 - visit Bob in the hospital.
041310 - ..
041311 - After the call, Bob very pleased. He related having gotten several
041312 - calls from friends at the gym wishing him a successful surgery, and
041313 - saying they will visit him in the hospital.
041314 -
041315 - [On 111101 0930 Bob disappointed nobody from the gym has
041316 - called or stopped to visit him in the hospital. ref SDS 13
041317 - HW6L
041318 -
041319 -
041321 - ..
0414 -
0415 -
0416 - 1047
0417 -
041701 - Doctor Fow called, at least that's what Bob said when he answered the
041702 - phone.
041704 - ..
041705 - Bob accidentally disconnected the call when he answered, so he did
041706 - not get the call.
041708 - ..
041709 - Bob tried calling the doctor back.
041711 - ..
041712 - He is having more problems with the phone due to poor mobility and
041713 - pain from his knee.
041715 - ..
041716 - Bob called the hospital back.
041718 - ..
041719 - He is on hold, while the hospital investigates who called and what
041720 - to convey.
041722 - ..
041723 - He was connected with Diane, the surgery schedule nurse, implementing
041724 - planning on Saturday, reported on 110917 1420. ref SDS 4 0G35
041726 - ..
041727 - Bob reported he has all the pre-ops cleared for surgery.
041729 - ..
041730 - Diane told Bob that his knee replacement surgery is now scheduled on
041731 - 110926, next Monday.
041733 - ..
041734 - He reports 110926 1130 to hospital. If there is an issue that
041735 - arises in reviewing Bob's medical history, he may have to report at
041736 - 0900 rather than 1130.
041737 -
041738 -
041740 - ..
0418 -
0419 -
0420 - 1107
0421 -
042101 - Diane calls back.
042102 -
042103 - Diane reporting Bob needs another lab to prepare for surgery.
042105 - ..
042106 - Pre-registeration on 110921
042108 - ..
042109 - Doctor meeting next day on 110922
042111 - ..
042112 - Diane said Bob should arrive at the hospital on 110926 0900.
042114 - ..
042115 - He will be in the hospital 2 - 5 days.
042116 -
042118 - ..
0422 -
0423 -
0424 - 1111
0425 -
042501 - Bob was naturally elated.
042502 -
042503 - Congratulated Bob on getting sugery advanced 4 weeks, from 111023 to
042504 - next Monday on 110926, which aligns with discussions on Saturday when
042505 - Bob was very discouraged, reported on 110917 1420, ref SDS 4 0G3F, and
042506 - we considered prospect that the hospital would have a cancellation
042507 - that would advance his surgery date. ref SDS 4 0G41
042509 - ..
042510 - After the call from Diane, planned with Bob to visit next week on
042511 - Saturday to help him prepare, and then to take him to the hospital
042512 - for surgery next Monday on 110926.
042514 - ..
042515 - Bob asked about staying for the week to take care of Sandy.
042517 - ..
042518 - Explained will stay the week to coordinate with the medical team and
042519 - visit Bob in the hospital while he recuperates. Can also feed the
042520 - dog. During that time next week, the medical team will plan with Bob
042521 - help needed to fully recover from knee surgery.
042523 - ..
042524 - Bob asked why he needs help at home the 3 - 5 days after surgery, when
042525 - he is released from the hospital? He feels that he can take care of
042526 - himself and Sandy at home, like he has been doing the past weeks with
042527 - his disabled knee.
042529 - ..
042530 - Discussed requirements for rehab care to recover from knee surgery
042531 - following discharge from the hospital.
042533 - ..
042534 - Considered need for daily support to help him at home, since initially
042535 - he will be severely disabled for weeks or months.
042537 - ..
042538 - Bob said he understands from meetings with Doctor Fow that full
042539 - recovery to work out in the gym and take Sandy on walks may take 6
042540 - months, but he believes that he will be discharged to come home about
042541 - 3 - 5 days after surgery, and will have degraded mobility similar to
042542 - his condition now that enables being self-sufficient to care for
042543 - himself and Sandy, clean the house, do laundry, and be able to drive
042544 - to the store for groceries.
042545 -
042546 - [On 111111 0802 at 1902 a week after rehab, Bob still very
042547 - disappointed learning this may take weeks to be discharged
042548 - and resume life at home. ref SDS 16 EZ7G
042550 - ..
042551 - Discussed prospect that the hospital discharge team will interview him
042552 - and may inventory the house to assess level of support he needs prior
042553 - to discharge from the hospital.
042554 -
042555 - [On 110920 1407 letter to Robin cites her call reporting
042556 - that she talked to Diane and was told they are trying to
042557 - reschedule Bob's surgery for 111010, after he recovers from
042558 - infection diagnosed on 110919, and further that Bob will
042559 - require care for 2 weeks in a rehab center for initial
042560 - recovery from knee replacement surgery. ref SDS 7 648J
042562 - ..
042563 - [On 110920 1407 letter to Robin relates another discussion
042564 - with Bob by phone about hiring help to reduce risk of
042565 - further injury delaying his surgery, and needing assistance
042566 - after surgery; and, Bob feels this is unnecessary.
042567 - ref SDS 7 486P
042569 - ..
042570 - [On 110920 1407 letter to Robin reports house looks better
042571 - than expected; resistance to hiring help may be
042572 - embarrassment issue about messy house. ref SDS 7 493V
042573 -
042574 -
042575 -
042577 - ..
0426 -
0427 -
0428 - 1123
0429 -
042901 - Bob called Diane back.
042902 -
042903 - He asked if he will need professional help when he comes home after
042904 - knee replacement surgery next week?
042906 - ..
042907 - Bob understood from this call that he will be able to walk out of the
042908 - hopsital and go home 3 - 5 days after surgery scheduled for next
042909 - Monday, on 110926.
042911 - ..
042912 - Bob was very happy.
042913 -
042914 - [On 110920 1407 letter to Robin cites her call reporting
042915 - that she talked to Diane and was told they are trying to
042916 - reschedule Bob's surgery for 111010, after he recovers from
042917 - infection diagnosed on 110919, and further that Bob will
042918 - require care for 2 weeks in a rehab center for initial
042919 - recovery from knee replacement surgery. ref SDS 7 648J
042921 - ..
042922 - [On 111031 0800 at 1732 Doctor Fow advised after Bob's knee
042923 - replacement surgery that the operation went very well,
042924 - ref SDS 12 02EG, the medical team discovered an infection
042925 - from the urine sample; this will be treated concurrent with
042926 - Bob's recovery from surgery, ref SDS 12 CS8H, the doctor
042927 - said "Bob will hate me for 2 weeks after surgery" and then
042928 - he will begin to feel better and improve progress with
042929 - rehab. ref SDS 12 Y66O
042931 - ..
042932 - [On 111103 0709 at 0828 Doctor Fow recommended Bob go into
042933 - rehab to recover from knee surgery, and he will be released
042934 - when he has gained enough mobility to walk about 150 feet;
042935 - this will start with 3 days of care in rehab; the doctor
042936 - expects it may take 2 or more weeks for Bob to become fully
042937 - mobile on his new knee. ref SDS 14 R55O
042939 - ..
042940 - [On 111105 0853 at 1620 Nurse Francis reports Bob very
042941 - discouraged and unhappy on being transferred to Mission
042942 - View Health Center and being told rehabilitation will take
042943 - 2 weeks; Francis further reports that knee replacements are
042944 - among most difficult surgies to rehabilitate. ref SDS 15
042945 - D86I
042947 - ..
042948 - [On 111111 0802 at 1822 Laura physicial therapyst reported
042949 - Bob walked 150 steps with walker and physical therapyst;
042950 - still has long way to go to walk 150 steps that demonstrate
042951 - rehabilitation to function indepently; patients usually
042952 - require 4 weeks, and some take months to be ready for
042953 - discharge. ref SDS 16 FH5W
042955 - ..
042956 - [On 111111 0802 at 1902 2 weeks after surgery and a week
042957 - after starting rehab Bob very disappointed learning this
042958 - may take 4 weeks to be discharged and resume life at home;
042959 - saying he would not agreed to have surgery if he knew
042960 - rehabilitation would take so long. ref SDS 16 EZ7G
042962 - ..
042963 - [On 111112 0838 at 1732 Bob showing better signs of
042964 - recovery with less pain, and with appetite, energy, and
042965 - enthusiasm for life increasing, ref SDS 17 PRSV; Bob did
042966 - some rehab walking with the walker on his own initiative
042967 - without assistance from physical therapyst, ref SDS 17
042968 - RV8W; Bob reports he feels much better about prospects for
042969 - successful rehabilitation. ref SDS 17 NL5K
042970 -
042971 -
042973 - ..
0430 -
0431 -
0432 - 1138
0433 -
043301 - Robin called. She wants to meet at 1800 for dinner. The location is
043302 - Appleby's restaraunt on Grand Avenue in Arryo Grande.
043304 - ..
043305 - Turn West onto Grand Avenue from US 101, and go about a mile.
043306 -
043307 - [On 110919 2030 after dinner with Robin, drove home to
043308 - Concord from Arryo Grande. ref SDS 6 K16K
043309 -
043311 - ..
0434 -
0435 -
0436 - 1218
0437 -
043701 - Took Bob to lunch at the "Village Grill," a hamburgrer place, also, in
043702 - Arryo Grande and also on Grand Avenue, but turn East from US 101 off
043703 - ramp. Hamburger was very good, easy to eat, and fries were great.
043704 -
043706 - ..
0438 -
0439 -
0440 - 1343
0441 -
044101 - On the way home, Bob directed the drive to Nipomo park. There is an
044102 - "off-leash" dog park where dogs can run free without a leash, similar
044103 - to the park were Ross and I took Goliath on 110830 0838. ref SDS 3
044104 - H54F
044106 - ..
044107 - The dog park in Nipomo is very near Bob's home on Division street...
044108 -
044109 - 1. Driving from Bob's on Orchard, cross Teft and make
044110 - immediate right turn on the other side of Teft.
044112 - ..
044113 - 2. Access to the park is free during the week, but costs a
044114 - few dollars on the weekend. Bob explained that rather
044115 - than drive into the park on weekends, park outside and
044116 - walk across with the dog on a leash to the dog run area.
044118 - ..
044119 - 3. Bob said that Sandy is very friendly with other dogs, so
044120 - there is no problem taking to the park.
044122 - ..
044123 - 4. Bob said he will walk with Sandy around the outside of
044124 - the fenced dog run enclosure, and without a leash.
044125 -
044127 - ..
044128 - On leaving the park, Bob directed the drive past the entrance to the
044129 - hiking area, where he took Millie and me 5 years ago or more.
044131 - ..
044132 - We drove a few miles further to "Trilogy." It seems like an upscale
044133 - retirement community. Bob suggested we get out of the car and walk
044134 - through the common area and clubhouse, which includes a restaraunt,
044135 - swimming facilities, and a workout room.
044137 - ..
044138 - Getting around was very difficult with Bob's impaired mobility. Let
044139 - him off at the front door and found parking some distance away.
044141 - ..
044142 - Bob walked through the Trilogy complex hunched over using his cane and
044143 - dragging his bad leg, noted previously on arrving a few days ago,
044144 - reported 110917 1420. ref SDS 4 N53I
044145 -
044146 - [On 111030 0916 Bob's mobility further reduced, and painful
044147 - due to injured left knee. ref SDS 11 SS7L
044149 - ..
044150 - After seeing the complex, drove the car around to the front so Bob
044151 - could get in the car without further walking.
044152 -
044153 -
044154 -
044156 - ..
0442 -
0443 -
0444 - 1509
0445 -
044501 - On arriving home, Bob complained if rising pain in his disabled leg.
044502 -
044503 - Suggested Bob elevate his leg by sitting in the recliner chair. Bob
044504 - said this was unnecessary, because he elevated the leg recently and it
044505 - still hurt.
044506 -
044507 - [On 110920 1407 letter to Robin reported challenges helping
044508 - Bob. ref SDS 7 489V
044510 - ..
044511 - [On 111029 0318 drove to Nipomo helping Bob prepare for
044512 - surgery rescheduled to 111031. ref SDS 10 RB7S
044514 - ..
044515 - Suggested Bob call Diane, since he has confidence in her advice from
044516 - assisting Doctor Fow schedule Bob's surgery, reported earlier this
044517 - morning, per above. ref SDS 0 5V3G and ref SDS 0 HH7O
044519 - ..
044520 - Bob indicated that Diane is too busy helping the doctor and other
044521 - patients to bother her with another call asking about elevating his
044522 - foot to reduce swelling from infection, since he knows this hasn't
044523 - done any good previously.
044525 - ..
044526 - Related personal history getting advice from a nurse in the hospital
044527 - that elevating my leg above my heart would help reduce infection so I
044528 - could be discharged to go home, reported on 091104 0718. ref SDS 2
044529 - PRPV
044531 - ..
044532 - Bob calls for Diane at the hospital.
044534 - ..
044535 - He is wandering around the house looking for his billfold. Bob is
044536 - worried it is in pants pockets, but he doesn't know where the pants
044537 - are that may have the walut.
044539 - ..
044540 - Kathy Jo comes on line, and says Diane is not available.
044542 - ..
044543 - Bob reports his left foot is swollen today, and his left knee. He
044544 - wants the nurse to ask the doctor for advice on interim care to
044545 - relieve pain today until his knee operation next Monday.
044547 - ..
044548 - He requests consultation with Doctor Morio.
044550 - ..
044551 - He talks to Jessica.
044553 - ..
044554 - He asks if swelling is normal symptom for patient wtih severe
044555 - degenerative arthritis, pending surgery for knee replacement?
044557 - ..
044558 - He wants interim care to relieve pain until next Monday.
044559 -
044560 - [On 110919 1800 Robin called and talked to Bob in the ER;
044561 - he was diagnosed with infection from scratches in his legs
044562 - caused by the dog, Sandy. ref SDS 5 GO9M
044563 -
044564 - [On 111031 0800 Doctor Fow reports surgery was performed
044565 - despite lab evidence of infection, contrary to prior
044566 - practice delaying Bob's surgery for over a month due
044567 - diagnosis of infection based solely on clinical examination
044568 - finding scratches on lower legs and with lab evidence
044569 - showing no signs of infection at that time a month ago.
044570 - ref SDS 12 CS8H
044572 - ..
044573 - Jessica said Bob should call Doctor Fow, who will be doing the
044574 - operation next Monday.
044575 -
044576 -
044578 - ..
0446 -
0447 -
0448 - 1517
0449 -
044901 - Bob calls Doctor Fow's nurse, Diane. He leaves message for Diane to
044902 - call back.
044903 -
044905 - ..
0450 -
0451 -
0452 - 1519
0453 -
045301 - Bob calls someone to schedule service tomorrow trimming the dog's
045302 - claws.
045304 - ..
045305 - This will help prevent further scratches from Sandy's claws, discussed
045306 - with Bob on Saturday on 110917 1420, ref SDS 4 JG7F, and which
045307 - happened again yesterday, and reported in the record above.
045308 - ref SDS 0 JW7O
045309 -
045310 - [On 110920 1407 letter to Robin reports discussing with Bob
045311 - wearing jeans, suggested by Robin to reduce risk of further
045312 - scratches from the dog, ref SDS 7 487Y; also reported Bob
045313 - scheduled Sandy to have claws cut, but this may not prevent
045314 - additional serious injury that further delays his surgery.
045315 - ref SDS 7 488U
045316 -
045318 - ..
0454 -
0455 -
0456 - 1521
0457 -
045701 - Bob asks about taking the dog for a walk to get exercise around the
045702 - neighborhood.
045704 - ..
045705 - Since it is very warm today, taking the dog out for a long walk will
045706 - require taking another shower to clean up for going to dinner this
045707 - evening.
045709 - ..
045710 - Took Sandy for about 2 mile walk around the neighborhood.
045711 -
045713 - ..
0458 -
0459 -
0460 - 1634
0461 -
046101 - Returned home.
046102 -
046103 - Bob said the doctor prescribed immediate care in the Emergency Room
046104 - (ER) Department to assess rising pain in his disabled knee, which Bob
046105 - reported an hour or so ago, per above. ref SDS 0 RH42
046107 - ..
046108 - Bob did not request assistance going to ER. He asked to feed the dog
046109 - while he is at the hospital. He did not discuss work plan in the
046110 - event he is admitted for care required to be prepared for surgery
046111 - scheduled next Monday on 110926, per call from Diane earlier this
046112 - morning. ref SDS 0 5V34
046113 -
046114 - [On 110919 1800 Robin called and talked to Bob in the ER;
046115 - he was diagnosed with infection from scratches in his legs
046116 - caused by the dog, Sandy. ref SDS 5 GO9M
046118 - ..
046119 - [On 110919 2030 after dinner with Robin, drove home to
046120 - Concord from Arryo Grande. ref SDS 6 K16K
046122 - ..
046123 - [On 110920 1407 letter to Robin cites her call reporting
046124 - Bob's surgery delayed due to infection until hopefully only
046125 - 111010, and that he will require at least 2 weeks in rehab
046126 - center to recover from knee surgery. ref SDS 7 648J
046128 - ..
046129 - [On 110920 1407 letter to Robin cites Bob's report surgery
046130 - to replace his disabled knee delayed indefinitely due to
046131 - infection in his legs caused by dog scratches. ref SDS 7
046132 - 475S
046134 - ..
046135 - [On 110920 2317 letter from Robin relates Bob suspects
046136 - there is no infection in his leg, and that swelling is
046137 - caused by hobbling around on the disabled knee because he
046138 - has no help at home. ref SDS 8 RF5R
046140 - ..
046141 - [On 110921 0805 letter to Robin related call from Bob
046142 - indicating surgery for knee replacement delayed more than 4
046143 - weeks, until 111031. ref SDS 9 EI6S
046144 -
046145 -
046146 -
046147 -
046148 -
0462 -