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 25, 2012 12:08 PM Wednesday;
Rod Welch
Robin letter MRI left knee shows problems called on getting 2nd opinion.
1...Summary/Objective
2...Left Knee MRI Shows Medical Maladies Meeting Lawler 120731
3...Meeting 2nd Opinion Doctor Schueckler Scheduled 120802
4...Case Management Performed without Patient Assistance
5...Medical Records No Evidence Ordered from Lawler for 2nd Opinions
6...Perplexed Patients Prevent Comprehensive Case Management
7...Ligament Defects Correlation to Knee Pain from Cartilage Damage
8...Weak Knees Genetic Ligament Defects Correlate Knee Cartilage Damage
9...Nervous Patients Benefit Assistance for Comprehensive Case Management
10...Comprehensive Case Management Patient Assistance Optimize Outcome
11...Optimize Outcome Comprehensive Case Management Patient Assistance
12...Patient Assistance Optimize Outcome Comprehensive Case Management
ACTION ITEMS..................
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1...We need to ask Doctors Schueckler and Fow if they have any personal or
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 - Left message for Robin on results of MRI of left knee reported
100902 - performed in Robin's letter on 120723 2305. ref SDS 13 U79J At that
100903 - time, Robin said another doctor in her office will report analysis on
100904 - the 2nd scan. ref SDS 13 U74P
100906 - ..
100907 - There is also the question of getting 2nd opinion from Doctor
100908 - Schueckler planned in the call on 120718 1842? ref SDS 12 SQ8G
100910 - ..
100911 - Asked Robin about progress issuing written order for medical records
100912 - from Doctor Lawler's office needed to submit for 2nd opinion from
100913 - Doctor Fow, explained in the letter to Robin yesterday on 120724 0106.
100914 - ref SDS 14 FW9T
100915 -
100916 - [On 120728 0027 Robin called and seemed to indicate she
100917 - will not obtain medical records on knee surgery for 2nd
100918 - opinions on recovering from knee pain due to complications
100919 - after surgery on 120322. ref SDS 16 PY7M
100920 -
100921 -
100923 - ..
1010 -
1011 -
1012 - 2007
1013 -
101301 - Left Knee MRI Shows Medical Maladies Meeting Lawler 120731
101302 -
101303 -
101304 - Received letter from Robin saying...
101305 -
101306 - 1. Subject: Hi Rod
101307 - Date: Wed, 25 Jul 2012 17:57:04 -0700 (PDT)
101314 - ..
101315 - 2. Well, not so good news....I got my MRI results of my left knee
101316 - (had surgery on the right knee) and it has it's own complex
101317 - issues, not minor so it seems. I'm trying to just not get too
101318 - upset about it until I see the doctor.
101320 - ..
101321 - 3. I have an appointment with Dr Lawler (surgeon who did my
101322 - surgery and ordered the MRI for my left knee) this coming
101323 - Tuesday. [...120731...]
101325 - ..
101326 - This responds to the question in the telephone message earlier today,
101327 - per above, ref SDS 0 MI5I, about Doctor Lawler ordering MRI on left
101328 - knee, during examination of MRI on right knee last week on 120719,
101329 - shown in Robin's letter on 120723 2305. ref SDS 13 U79J
101330 -
101331 - [On 120726 0753 Robin called and advised that laster on
101332 - 120726, she will electronically submit via email files on
101333 - MRI radiology tests performed on right knee and recently on
101334 - left knee. ref SDS 15 MI5I
101336 - ..
101337 - Meeting with Doctor Lawler to review MRI report on right knee
101338 - performed 120719, reported in Robin's letter received on 120723 2305.
101339 - ref SDS 13 978S
101340 -
101341 -
101343 - ..
101344 - Meeting 2nd Opinion Doctor Schueckler Scheduled 120802
101345 -
101346 - Letter from Robin continues...
101347 -
101348 - 4. I also have an appointment with another ortho, Dr Schueckler on
101349 - Thurs to go over, look at the results of both my knees.
101351 - ..
101352 - Meeting scheduled with Doctor Schueckler for 2nd opinion evidently on
101353 - 120802, cited in Robin's letter today, supplements planning for Robin
101354 - to meet with Doctor Fow for 2nd opinion, reported in Robin's letter
101355 - received on 120723 2305. ref SDS 13 U799
101356 -
101357 - [On 120726 0753 Robin called and clarified meeting with
101358 - Doctor Schueckler is scheduled on 120802. ref SDS 15 N755
101360 - ..
101361 - [On 120728 0027 Robin called and schedule meeting with
101362 - Doctor Schueckler with patient assistance on 120802 1545.
101363 - ref SDS 16 UV6O
101365 - ..
101366 - We need to ask Doctors Schueckler and Fow if they have any personal or
101367 - professional associations with Doctor Lawler that would influence
101368 - preparing objective 2nd opinion on Doctor Lawler's work?
101369 -
101370 - [On 120728 0027 Robin reported that Doctor Schueckler
101371 - performed knee surgery for Doctor Lawler on 120323, the day
101372 - after Doctor Lawler performed the same type of surgery on
101373 - Robin on 120322; indicating they are likely professional
101374 - colleagues and possibly personal friends. ref SDS 16 MR9F
101375 -
101376 -
101378 - ..
101379 - Case Management Performed without Patient Assistance
101380 - Medical Records No Evidence Ordered from Lawler for 2nd Opinions
101381 -
101382 -
101383 - Letter from Robin continues...
101384 -
101385 - 5. Yes, I will take my films and records with me to Dr Schueckler.
101386 - Thank you for the reminder and I'm going to write down
101387 - questions so I don't forget not to ask all I want answers to.
101389 - ..
101390 - Robin responds to planning for patient assistance to perform case
101391 - management and stating in part... "Wish you had called me to support
101392 - the meeting. Your rights to get timely, effective care, including
101393 - insurance coverage, depend on presenting your case in a comprehensive,
101394 - careful manner," shown in the letter to her on 120724 0106.
101395 - ref SDS 14 FW8U
101397 - ..
101398 - Failure to request support in the letter today seems to indicate Robin
101399 - wants to perform case management personally, or with another patient
101400 - assistant.
101401 -
101402 - [On 120726 0753 Robin called and advised that laster on
101403 - 120726, she will electronically submit via email files on
101404 - MRI radiology tests performed on right knee and recently on
101405 - left knee. ref SDS 15 MI5I
101407 - ..
101408 - [On 120726 0753 Robin called and advised that she will call
101409 - back later in the evenin on 120726 to discuss planning for
101410 - case management, including patient assistance. ref SDS 15
101411 - 0159
101413 - ..
101414 - [On 120728 0027 Robin called and seemed to indicate she
101415 - will not obtain medical records on knee surgery for 2nd
101416 - opinions on recovering from knee pain due to complications
101417 - after surgery on 120322. ref SDS 16 PY7M
101418 -
101419 -
101421 - ..
101422 - Perplexed Patients Prevent Comprehensive Case Management
101423 - Ligament Defects Correlation to Knee Pain from Cartilage Damage
101424 - Weak Knees Genetic Ligament Defects Correlate Knee Cartilage Damage
101425 -
101426 -
101427 - Letter from Robin continues...
101428 -
101429 - 6. I'm perplexed because I don't know why/how my knees got in
101430 - such bad shape. I remember being told when I was in my 20's
101431 - that I had very flabby ligament tissue, soft tissue and need to
101432 - build up my muscles to support and protect the soft tissue.
101433 -
101434 - [...below on 120725 1208 at 2014 called and left message to
101435 - provide patient assistance attending meetings with doctors.
101436 - ref SDS 0 EU5H
101438 - ..
101439 - 7. I'm glad I was never a runner. I always knew and would say to
101440 - peeps who asked me to try skiing or other sports that you need
101441 - to do lateral moves, such as tennis etc that I couldn't due to
101442 - having weak knees.
101444 - ..
101445 - Do "weak knees" prevent benefitting from Glucosamine Chondroitin,
101446 - presented in the letter to Robin on 120724 0106. ref SDS 14 FW4U
101447 -
101448 -
101450 - ..
101451 - Nervous Patients Benefit Assistance for Comprehensive Case Management
101452 -
101453 -
101454 - Letter from Robin continues...
101455 -
101456 - 8. I'm a bit nervous and anxious about what the doctor is going to
101457 - say regarding my left knee. I'll let you know. I'm just kind
101458 - of stunned right now anticipating what my next move, decision
101459 - is going to be....
101461 - ..
101462 - Patients are always nervous meeting with medical professionals because
101463 - of anxiety about both good and bad news. Nervous anxiety impairs
101464 - comprehensive case management required to resolve medical probblems.
101465 -
101466 - [...below on 120725 1208 at 2014 called and left message to
101467 - provide patient assistance attending meetings with doctors.
101468 - ref SDS 0 EU5H
101470 - ..
101471 - Letter from Robin continues...
101472 -
101473 - 9. I will call you after I see Dr. Lawler and let you know what he
101474 - says.
101476 - ..
101477 - Since Robin is perplexed and nervous like all patients, she will have
101478 - very little understading of what Doctor Lawler says unless the meeting
101479 - is supported by patient assistance, because mental maps are awfully
101480 - forgiving, noted by Andy Grove, CEO Intel, reported on 980307 1614.
101481 - ref SDS 1 3668
101482 -
101493 -
101494 -
101495 -
101497 - ..
1015 -
1016 -
1017 - 2014
1018 -
101801 - Comprehensive Case Management Patient Assistance Optimize Outcome
101802 - Optimize Outcome Comprehensive Case Management Patient Assistance
101803 - Patient Assistance Optimize Outcome Comprehensive Case Management
101804 -
101805 - Since Robin reports being "perflexed," ref SDS 0 K86H, and "nervous"
101806 - about pending meetings to recover from medical problems, ref SDS 0
101807 - K86H, called and left message explaining again she needs patient
101808 - assistance to determine what transpires during follow up meeting with
101809 - Doctor Lawler on 120731 to discuss results of MRI on left knee, per
101810 - above, ref SDS 0 B78O, and for 2nd opinion meetings with Doctor
101811 - Schueckler on 120802, also above, ref SDS 0 N755, and with Doctor Fow
101812 - on 120830, reported in Robin's letter on 120723 2305. ref SDS 13 U799
101814 - ..
101815 - This opportunity was presented to Robin in the letter on 120724 0106.
101816 - ref SDS 14 FW8U
101817 -
101818 - [On 120726 0753 Robin called and advised that laster on
101819 - 120726, she will electronically submit via email files on
101820 - MRI radiology tests performed on right knee and recently on
101821 - left knee. ref SDS 15 MI5I
101823 - ..
101824 - [On 120726 0753 Robin called and advised that she will call
101825 - back later in the evenin on 120726 to discuss planning for
101826 - case management, including patient assistance. ref SDS 15
101827 - 0159
101828 -
101829 -
101830 -
101831 -
101832 -
101833 -
101834 -
1019 -