CONTACTS
SUBJECTS
Knee Pain Worse Complications Surgery 120322 Evidence MRI Radiology
1003 -
1003 - ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 9 0000. ref SDS 8 0000.
100502 -
100503 -
100504 -
100506 - ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - Received letter from Robin saying...
100902 -
100903 - 1. Subject: Hi Rod :)
100904 - Date: Mon, 23 Jul 2012 21:55:11 -0700 (PDT)
100911 - ..
100912 - 2. I was out of town this past weekend in Bakersfield attending my
100913 - Convention. Yes, it was wonderful and too I got to see friends
100914 - I hadn't seen in a very long time, always nice :)
100915 -
100916 - [On 120724 0106 responded to Robin's letter today.
100917 - ref SDS 10 MI5I
100919 - ..
100920 - 3. I had an appointment with Dr Lawler last Thursday [...on
100921 - 120719, 2 days after MRI test on 120717...]. Dr Lawler said I
100922 - didn't need another surgery [...on right knee...]. I asked him
100923 - about what the radiologist saw, two new tears. Dr Lawler said
100924 - that it was frayed edges of the cartilage and arthritis and
100925 - told me not to do any impact exercising such as running,
100926 - jumping etc. Also, told me that I MAY in the distant future
100927 - one day need a knee replacement.
100929 - ..
100930 - Robin's meeting with Doctor Lawler on 120719, was planned in telecon
100931 - on 120718 1842, ref SDS 9 ER7L, to review findings in report for MRI
100932 - scan on her knee that has suffered complications, since surgery on
100933 - 120322 0600. ref SDS 2 699F
100934 -
100935 - [On 120731 1630 Robin's letter reports Doctor Lawler
100936 - disputed radiology report finding "tears" as inaccurate and
100937 - inappropriate language that scares patients, and further
100938 - maintained the MRI scans only show "fraying." ref SDS 12
100939 - YC47
100941 - ..
100942 - Robin does not report remedies Doctor Lawler provided to prevent
100943 - continuing knee pain from tears and a bulging cyst in the right knee.
100945 - ..
100946 - For example, on 120601, Robin reported getting a cortisone injection
100947 - that relieved her knee pain, and that Doctor Lawler told her that the
100948 - cortisone injection would help heal complications from knee surgery on
100949 - 120322, and thereby prevent knee pain. ref SDS 3 YQ8Y
100951 - ..
100952 - On 120619, Doctor Lawler approved physical therapy to relieve Robin's
100953 - knee pain. ref SDS 4 UF9N
100954 -
100955 - [On 120802 1545 Robin reported to Doctor Schueckler for 2nd
100956 - opinion review that after 3 treatments, the physical
100957 - therapy doctor refused to provide further care, and
100958 - referred Robin back to the surgeon for corrective care of
100959 - her knee to recover from post-op complications. ref SDS 13
100960 - 1F7G
100962 - ..
100963 - How did Doctor Lawler explain continuing pain following the cortisone
100964 - injection, and physical therapy? What new remedy is planned?
100966 - ..
100967 - Robin does not explain why frayed cartiledge was not repaired during
100968 - surgery on 120322, nor what might have caused this problem despited
100969 - Robin's very limited activity since surgery?
100971 - ..
100972 - Robin needs a written report from Doctor Lawler that explains the
100973 - written analysis on the MRI scan that found 2 "tears."
100974 -
100975 - [On 120724 0106 letter to Robin explains procedure to
100976 - submit written order for medical records and to hand carry
100977 - to Doctor Fow for preparing to meet on 120830 to issue 2nd
100978 - opinion on recovering from complications caused by knee
100979 - surgery on 120322. ref SDS 10 FW8X
100981 - ..
100982 - [On 120725 1208 at 2007 Robin schedule meeting with Doctor
100983 - Lawler on 120731, ref SDS 11 N750, to review results of MRI
100984 - on left knee performed on 120723, and which was ordered by
100985 - Doctor Lawler today on 1207178, per above. ref SDS 0 U79J
100987 - ..
100988 - Robin does not report asking Doctor Lawler about plans to get
100989 - treatment from the doctor in Ensenada. In the call on 120718, Robin
100990 - seemed to say she wanted to get medical opinion on considering
100991 - aleternative treatments. ref SDS 9 8T9K
100993 - ..
100994 - Letter from Robin continues...
100995 -
100996 - 4. I asked him about my other knee, left knee and he gave me an
100997 - order to get a MRI. I got the MRI today, late so will get the
100998 - results tomorrow.
100999 -
101000 - [On 120725 1208 telephone message asks Robin for results on
101001 - MRI of left knee. ref SDS 11 MI5I
101003 - ..
101004 - [On 120725 1208 at 2014 Robin letter reports MRI report
101005 - found disorders with left knee, ref SDS 11 B78O
101007 - ..
101008 - [On 120725 1208 at 2007 Robin schedule meeting with Doctor
101009 - Lawler on 120731, ref SDS 11 N750, to review results of MRI
101010 - on left knee performed on 120723, and which was ordered by
101011 - Doctor Lawler today on 1207178, per above. ref SDS 0 U79J
101013 - ..
101014 - 5. I made an appointment with Dr Fow 8/30 to get a second opinion.
101016 - ..
101017 - This implements planning for 2nd opinion with Doctor Fow, reported on
101018 - 120718 1842. ref SDS 9 SQ86
101020 - ..
101021 - Robin should now send the letter drafted for her in the letter on
101022 - 120623 0238, ref SDS 5 Q19R, requesting her medical chart.
101024 - ..
101025 - Robin should submit to Doctor Fow's office, Dotor Lawler's written
101026 - record in her medical chart, including all examinations since surgery
101027 - on 120322. This should be submitted at least 2 weeks in advance of
101028 - meeting with Doctor Fow on 120830.
101029 -
101030 - [On 120724 0106 letter to Robin explains scope of medical
101031 - records for submitting to Doctor Fow to prepare for meeting
101032 - Robin on 120830, and issuing 2nd opinion. ref SDS 10 FW8X
101034 - ..
101035 - [On 120725 1208 at 2007 Robin schedule meeting with Doctor
101036 - Schueckler Thursday - either 120726 or 120802, to
101037 - complement 2nd opinion scheduled with Doctor Fow on 120830,
101038 - and which will assist Doctor Lawler determining optimum
101039 - care for Robin to recover. ref SDS 11 N755
101041 - ..
101042 - [On 120725 1208 at 2014 called and left message explaining
101043 - again that medical case management requires comprehensive
101044 - patient assistance to optimize care. ref SDS 11 EU5H
101046 - ..
101047 - Letter from Robin continues...
101048 -
101049 - 6. Oh and I asked Dr Vernacchia, my boss, medical director and
101050 - lead radiologist to take a look at my MRI (another rad with our
101051 - center read my MRI).
101052 -
101053 - [On 120725 1208 telephone message asks Robin for results on
101054 - MRI of right knee. ref SDS 11 MI5I
101056 - ..
101057 - 7. Anyway, I am just relieved I don't have to have another surgery
101058 - at this time. In the meantime I will continue to do stretching
101059 - exercises and get back to the stationary bike, work up to doing
101060 - the treadmill, walking only.
101062 - ..
101063 - Robin does not present a work plan Doctor Lawler proposed to relieve
101064 - or otherwise remedy severe pain Robin has suffered from complications
101065 - caused by knee surgery on 120322. She was crying in pain during the
101066 - call last week on 120718 1842. ref SDS 9 UN6O
101067 -
101068 - [On 120724 0106 letter to Robin explains again background
101069 - on success relieving knee pain using Glucosamine
101070 - Chondroitin. ref SDS 10 FW4U
101072 - ..
101073 - Letter from Robin continues...
101074 -
101075 - 8. Thank you for checking up on me, your concern and offer to
101076 - help, always reassuring :)
101078 - ..
101079 - 9. How are you doing? I'm sure it is very hot up in Concord and
101080 - no doubt the AC is a necessity huh?:) Any trips east planned?
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