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: July 24, 2012 01:06 AM Tuesday;
Rod Welch
Robin letter 2n opinion Doctor Fow complications from knee surgery.
1...Summary/Objective
2...Glucosamine Chondroitin Resolved Knee Joint Pain Avoid Knee Replacement
..............
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CONTACTS
SUBJECTS
Knee Pain Worse Complications Surgery 120322 Evidence MRI Radiology
1003 -
1003 - ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
100502 -
100503 -
100504 -
100506 - ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - Submitted letter to Robin saying...
100902 -
100903 - 1. Subject: Knee Pain Relief Work Plan
100904 - Date: Tue, 24 Jul 2012 01:54:00 -0700
100911 - ..
100912 - 2. Good hearing you enjoyed the Bakersfield convention. [...
100913 - respoinding to Robin's letter on 120723 2305. ref SDS 14
100914 - MI5I...]. I was in Oregon on Saturday, to celebrate my mom's
100915 - (Lillian) 90th birthday. Saw some family for the first time in
100916 - 30 years. Quite a jolt for all of us!!
100918 - ..
100919 - 3. Great getting the meeting moved up to 120719, seeing Doctor
100920 - Lawler on relieving knee pain [...reported in Robin's letter on
100921 - 120723 2305. ref SDS 14 978S...] from complications after
100922 - surgery he performed on 120322. ref SDS 5 699F Wish you had
100923 - called me to support the meeting. Your rights to get timely,
100924 - effective care, including insurance coverage, depend on
100925 - presenting your case in a comprehensive, careful manner.
100927 - ..
100928 - 4. Wonderful you have a meeting scheduled with Fow on 120830. [...
100929 - cited in Robin's letter received on 120723 2305. ref SDS 14
100930 - U799...]
100931 -
100932 - [On 120725 1208 at 2007 Robin schedule meeting with Doctor
100933 - Schueckler Thursday - either 120726 or 120802, to
100934 - complement 2nd opinion scheduled with Doctor Fow on 120830,
100935 - and which will assist Doctor Lawler determining optimum
100936 - care for Robin to recover. ref SDS 15 N755
100938 - ..
100939 - [On 120725 1208 at 2014 called and left message explaining
100940 - again that medical case management requires comprehensive
100941 - patient assistance to optimize care. ref SDS 15 EU5H
100943 - ..
100944 - 5. Doctor Fow needs scans of your knee before and after surgery on
100945 - 120322, ref SDS 5 699F, including most recently discussed on
100946 - 120718. ref SDS 13 UW7J He needs the written reports
100947 - presumably issued by your office that interpret the scans,
100948 - including the report finding 2 new tears.
100950 - ..
100951 - 6. Doctor Fow needs Doctor Lawler's medical chart, including all
100952 - progress notes before, during, and after surgery, including the
100953 - most recent examination on 120719 (last Thursday) [...explained
100954 - in Robin's letter received yesterday on 120723 2305,
100955 - ref SDS 14 978S...]
100956 -
100957 - [On 120725 1208 telephone message asks Robin about progress
100958 - ordering medical records from Doctor Lawler's office for
100959 - submission to Doctor Fow to get 2nd opinion. ref SDS 15
100960 - HI8F
100962 - ..
100963 - [On 120728 0027 Robin called and seemed to indicate she
100964 - will not obtain medical records on knee surgery for 2nd
100965 - opinions on recovering from knee pain due to complications
100966 - after surgery on 120322. ref SDS 16 PY7M
100968 - ..
100969 - 7. Submit a written request for medical records to Doctor Lawler's
100970 - office, as shown in the draft letter sent to you on 120623.
100971 - ref SDS 9 Q146
100973 - ..
100974 - 8. We will re-work the 1st para to reflect the recent meeting.
100975 - Hand carry your medical records to Doctor Fow's office with
100976 - letter explaining transmittal for the purpose of preparing 2nd
100977 - opinion.
100978 -
100980 - ..
100981 - Glucosamine Chondroitin Resolved Knee Joint Pain Avoid Knee Replacement
100982 -
100983 -
100984 - 9. It may be small comfort to know that I was told 12 years ago on
100985 - 000124, that I would need knee replacement surgery in 5 years
100986 - (see line 221041. ref SDS 1 HU5O
100988 - ..
100989 - 10. At that time, my doctor said he had similar knee pain from
100990 - tennis and running, and that he experienced relief using
100991 - Glucosamine Chondroitin. I tried this, but could not swallow
100992 - the pills due to an esophageal issue. About 4 years later on
100993 - 040529, Millie found liquid Glucosamine Chondroitin at Costco,
100994 - and this helped both of us (see line 110402. ref SDS 2 MN9P
100995 -
100996 - [On 120725 1208 at 2007 Robin letter report diagnosis in
100997 - her 20s of having "weak knees" due to fatty ligaments; does
100998 - this chronic condition, if true, prevent benefitting from
100999 - Glucosamine Chondroitin to resolve knee pain Robin has been
101000 - suffering for many years, and for 4 months post knee
101001 - surgery on 120322? follow up, ref SDS 15 U96N
101003 - ..
101004 - 11. Currently, I have no knee pain, even with vigorous hiking. [...
101005 - repeating prior notice to Robin issued, 120222 1832,
101006 - ref SDS 4 LT4S...] on success relieving knee and other joint
101007 - pain using Glucosamine Chondroitin.
101009 - ..
101010 - 12. If Doctor Lawler is correct that you have only "frayed"
101011 - cartilage, then your knee pain should be similarly relieved
101012 - with Glucosamine Chondroitin [...recommended previously to
101013 - Robin in a letter on 120222 1832. ref SDS 4 LT4S; medication
101014 - was ordered for Robin from Costco on 120516 1048. ref SDS 6
101015 - E99F; Robin's letter on 120601, indicated she was taking
101016 - Glucosamine Chondroitin, ref SDS 7 HX9I...]. If the finding of
101017 - "tears" in the MRI report is correct, then affirmative medical
101018 - care is required to recover from complications caused by knee
101019 - surgery on 120322. ref SDS 5 699F
101021 - ..
101022 - 13. Your case contrasts sharply with my knee problems.
101024 - ..
101025 - 14. I suffered very serious knee injury in 1974 falling 40 feet to
101026 - a concrete surface. Fortune smiled that day dodging death,
101027 - surviving with only a severely injured left knee. After
101028 - surgery, and once adhesions were manually broken with a second
101029 - medical procedure 6 weeks later, I had no further pain of any
101030 - kind for nearly 15 years running and playing tennis. Exercise
101031 - finally caused problems addressed with a second surgery in
101032 - 1988, and then again there was no further pain for over 10
101033 - years.
101035 - ..
101036 - 15. Your history of continuing pain 3 - 4 months after surgery on
101037 - 120322, requires close scrutiny for diagnosis and resolution of
101038 - complications caused by surgery.
101040 - ..
101041 - 16. Please send me a copy of the letter to Lawler's office
101042 - requesting your medical chart.
101043 -
101050 -
101051 -
101052 -
101053 -
101054 -
101055 -
101056 -
101057 -
101058 -
1011 -