CONTACTS
SUBJECTS
Knee Pain Worse Complications Surgery 120322 Evidence MRI Radiology
1003 -
1003 - ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 16 0000. ref SDS 15 0000.
100502 -
100503 -
100504 -
100505 -
100507 - ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - Left Knee MRI Shows Medical Maladies Meeting Lawler 120731
100902 -
100903 - Follow up ref SDS 16 B78O.
100904 -
100905 - Robin called responding to telephone message last night, reported on
100906 - 120725 1208. ref SDS 16 EU5H
100908 - ..
100909 - This afternoon, Robin will obtain and submit files for MRI tests on
100910 - her right knee, before and after surgery on 120322, and including the
100911 - most recent MRI on right knee performed on 120717. This is a first
100912 - step toward preparing for getting 2nd opinion to resolve continuing
100913 - knee pain, and as recommended in the letter to Robin on 120724 0106.
100914 - ref SDS 15 FW9Q
100916 - ..
100917 - Robin will also submit later today the file for the report analysing
100918 - MRI on left knee performed a few days ago, and cited in Robin's letter
100919 - yesterday on 120725 1208. ref SDS 16 B78O
100921 - ..
100922 - This report will enable being prepared for meeting with Doctor Lawler
100923 - to review MRI results on left knee, and who performed surgery on
100924 - Robin's right knee in March, and which meeting on the left knee is
100925 - scheduled for next week on 120731, reported in Robinls letter on
100926 - 120725 1208. ref SDS 16 IR5M
100927 -
100928 -
100930 - ..
100931 - Meeting 2nd Opinion Doctor Schueckler Scheduled 120802
100932 -
100933 - Follow up ref SDS 16 N755.
100934 -
100935 - Robin clarified she is meeting with Doctor Schueckler for 2nd opinion
100936 - on right knee complications caused by surgery on 120322, next week
100937 - Thursday, on 120802, cited in Robin's letter yesterday on 120725 1208.
100938 - ref SDS 16 N755
100940 - ..
100941 - Meeting Doctor Schueckler on 120731, for 2nd opinion right knee
100942 - supplements planning for Robin to meet with Doctor Fow on 120830, for
100943 - 2nd opinion, reported in Robin's letter received on 120723 2305.
100944 - ref SDS 14 U799
100946 - ..
100947 - We need to ask Doctors Schueckler and Fow if they have any personal or
100948 - professional associations with Doctor Lawler that would influence
100949 - preparing objective 2nd opinion on Doctor Lawler's work?
100950 -
100951 -
100953 - ..
100954 - Case Management Performed without Patient Assistance
100955 - Medical Records No Evidence Ordered from Lawler for 2nd Opinions
100956 -
100957 - Follow up ref SDS 16 CM3V.
100958 -
100959 - Asked Robin about getting progress notes from examinations, surgery,
100960 - and recent examinations, as set out in the letter to Robin on 120724
100961 - 0106. ref SDS 15 FW9T
100963 - ..
100964 - Robin will call this evening to discuss scope of medical record
100965 - requests from Doctor Lawler's office.
100966 -
100967 -
100969 - ..
100970 - Glucosamine Chondroitin Recover Weak Knees Ligament Defects
100971 -
100972 - Follow up ref SDS 16 K86H.
100973 -
100974 - Robin said she still has Glucosamine Chondroitin. She took it for
100975 - awhile, but when pain seemed to persist, she stopped taking it.
100977 - ..
100978 - Advised will send her more, and that she needs to take it least 7
100979 - days to assess relief from knee pain.
100980 -
100981 -
100982 -
100984 - ..
100985 - Comprehensive Case Management Patient Assistance Optimize Outcome
100986 - Optimize Outcome Comprehensive Case Management Patient Assistance
100987 - Patient Assistance Optimize Outcome Comprehensive Case Management
100988 -
100989 - Follow up ref SDS 16 EU5H.
100990 -
100991 - Discussed attending meetings next week with Doctor Lawler on 120731 to
100992 - discuss results of MRI on left knee, per above, ref SDS 16 B78O, and
100993 - for 2nd opinion meetings with Doctor Schueckler on 120802, also above,
100994 - ref SDS 16 N755, and with Doctor Fow on 120830, reported in Robin's
100995 - letter on 120723 2305. ref SDS 14 U799
100997 - ..
100998 - This opportunity was presented to Robin in the letter on 120724 0106.
100999 - ref SDS 15 FW8U
101001 - ..
101002 - Robin said she will call this evening to discuss case management.
101003 -
101004 -
101005 -
101006 -
101008 - ..
1011 -
1012 -
1013 - 1943
1014 -
101401 - Received letter from Robin saying...
101402 -
101403 - 1. Subject: MRI Reports
101404 - Date: Thu, 26 Jul 2012 17:53:25 -0700 (PDT)
101411 - ..
101412 - 2. Attached are my MRI reports. MRI Right knee 2/17/12 was before
101413 - surgery, ref SDS 0 0194, and 7/17/12 was post surgery.
101414 - ref SDS 0 185I
101416 - ..
101417 - 3. Then there is the most recent MRI Left knee 7/2312. ref SDS 0
101418 - 049Y
101420 - ..
101421 - 4. I am so perplexed as to WHY I have these knee problems since I
101422 - never was a runner etc, ugh!!!
101423 -
101424 - [...below on 120726 0753 MRI report on left knee indicates
101425 - degenerative arthritis; no actual tears are reported.
101426 - ref SDS 0 QU3J
101428 - ..
101429 - [On 120730 1420 letter to Robin submits question for
101430 - meeting with Doctor Lawler to assess Robin's left compared
101431 - to other 50 year old patients who have no left knee pain.
101432 - ref SDS 18 UN4Y
101434 - ..
101435 - 5. I'll call you soon to talk about okay. Thank you for your
101436 - help, listening ear and support, mean a lot!
101438 - ..
101439 - 6. Luv,
101440 -
101441 - Robin
101443 - ..
101444 - Attached to the letter is the following PDF file...
101445 -
101447 - ..
101448 - MRI Right Knee Pre-surgery on 120217
101449 -
101450 -
101451 - 1. San Luis Diagnostic Center
101452 - Beyond Imaging
101453 - 1100 Monterey Street, Suite 210
101454 - San Luis Obispo, CA 93401
101455 - Phone: (805) 542 - 9700
101456 - Fax: (805) 542 - 0584
101458 - ..
101459 - 2. Staff
101474 - ..
101475 - 3. Services
101476 -
101477 - 1. Ultra High Field 3T Open MRI
101478 - 2. Positron Emission Tomography (PET/CT)
101479 - 3. 16-Slice Highspeed CT scanning
101480 - 4. 4D Ultrasonography -Color Vascular Analysis
101481 - 5. Mammography/Stereotactic Breast Biopsy
101482 - 6. MR & CT Angiography
101483 - 7. Radiography/Fluoroscopy
101484 - 8. Needle Biopsies
101485 - 9. 3D Bone Mineral Analysis
101486 - 10. Total Body/Heart Screening
101487 - 11. Virtual Colonoscopy
101489 - ..
101490 - 4. PATIENT:
101494 - ..
101495 - 5. REFERRING PHYSICIAN:
101502 - ..
101503 - 6. EXAM DATE: 02/17/2012
101505 - ..
101506 - 7. EXAM: MRI KNEE W/O CONTRAST RIGHT
101508 - ..
101509 - 8. CI: Knee pain.
101511 - ..
101512 - 9. REFERENCE STUDIES: Plain radiographs dated 12/13/11.
101513 -
101514 - [On 120727 0912 letter requests submission of prior study
101515 - on 111213 to compare with this study on 120217, and recent
101516 - study on 120717 (shown below, ref SDS 0 185I), - see letter
101517 - on 120727. ref SDS 17 4K4V
101519 - ..
101520 - 10. PROCEDURE:
101521 -
101522 - Performed on a 3T Tesla Siemens Skyra. Multi-planar and volume
101523 - acquisitions. Data transferred to independent work station for
101524 - 3-D reconstructive analysis.
101526 - ..
101527 - 11. FINDINGS:
101528 -
101529 - 1. MENISCI:
101530 -
101531 - [On 120727 0912 follow up, ref SDS 17 QY4J
101532 -
101533 - 1. Oblique, predominantly vertical tear of the apex of the
101534 - posterior horn of lateral meniscus.
101536 - ..
101537 - 2. In addition, there is a intrasubstance cleavage type tear
101538 - involving the body and posterior horn of the lateral
101539 - meniscus.
101540 -
101541 - [On 120727 0912 Doctor Ongely diagnosed
101542 - degenerative arthritis, ref SDS 17 QY4J, citing
101543 - this MRI on 120217, ref SDS 0 QQ9L, and post
101544 - surgery MRI on 120717, shown relow. ref SDS 0 PB3M
101546 - ..
101547 - 3. Fragmentation of the junction of the body and posterior
101548 - horn of the medial meniscus.
101550 - ..
101551 - 4. In addition, oblique, curvilinear vertical longitudinal
101552 - tear of the junction of the posterior root attachment and
101553 - posterior horn medial meniscus..
101555 - ..
101556 - 2. CRUCIATE LIGAMENTS: Intact.
101558 - ..
101559 - 3. COLLATERAL LIGAMENTS: Intact.
101561 - ..
101562 - 4. PATELLOFEMORAL COMPARTMENT:
101564 - ..
101565 - 5. Patellar and quadriceps tendons are normal. No significant
101566 - effusion.
101568 - ..
101569 - 6. JOINT SPACES AND ARTICULAR SURFACES:
101570 -
101571 - 1. Thinning of the articular cartilage is seen of the
101572 - posterior LFC.
101573 -
101574 - 2. Roughening of the cartilage.
101576 - ..
101577 - 3. Minimal fissuring of the lateral facet of the patella.
101579 - ..
101580 - 4. Near full thickness cartilage loss is also seen in the
101581 - anterior inferior trochlea of the LFC.
101583 - ..
101584 - 7. PERIARTICULAR SOFT TISSUES:
101585 -
101586 - 1. Intra-articular ganglion is noted adjacent to the
101587 - tibial attachment of the PCL.
101589 - ..
101590 - 2. In addition, a ganglion is noted adjacent to the
101591 - popliteus tendon and the tibial - fibular joint.
101592 -
101593 - [...below on 120726 0753 MRI report for 120217
101594 - Impression section reports 2 ganglion cysts.
101595 - ref SDS 0 L14Y
101597 - ..
101598 - [...below, on 120726 0753 review of MRI on 120716, 4
101599 - months after surgery on 120322, shows no findings
101600 - for ganglion cysts. ref SDS 0 QS6O
101602 - ..
101603 - [On 120802 1545 Doctor Schueckler, orthopedic
101604 - surgeon, 2nd opinion post-op examination finding
101605 - bulging cyst on patients right knee, ref SDS 20
101606 - MS38, and relates causation from build up of fluid
101607 - likely generated by the body to protect against 2
101608 - tears in the right knee, reported in follow up MRI
101609 - on 120717. ref SDS 20 4T5N
101611 - ..
101612 - 8. BONES: Unremarkable.
101614 - ..
101615 - 9. OTHER FINDINGS: None significant.
101617 - ..
101618 - 12. IMPRESSION:
101620 - ..
101621 - 1. Vertical tear of the apex of the posterior horn lateral
101622 - meniscus.
101624 - ..
101625 - 2. Intrasubstance cleavage type tear involving the junction of
101626 - the body and posterior horn of the lateral meniscus.
101628 - ..
101629 - 3. Oblique, curvilinear vertical/longitudinal tear of the
101630 - junction of the posterior horn and root attachment, medial
101631 - meniscus.
101633 - ..
101634 - 4. Two ganglion cysts, 1 intra-articular and 1 near the
101635 - popliteus tendon/tissue fibular joint.
101636 -
101637 - [...below, on 120726 0753 review of MRI on 120716, 4
101638 - months after surgery on 120322, shows no findings for
101639 - ganglion cysts. ref SDS 0 QS6O
101641 - ..
101642 - [On 120802 1545 Doctor Schueckler, orthopedic surgeon,
101643 - 2nd opinion post-op examination finding bulging cyst on
101644 - patients right knee, ref SDS 20 MS38, and relates
101645 - causation from build up of fluid likely generated by the
101646 - body to protect against 2 tears in the right knee,
101647 - reported in follow up MRI on 120717. ref SDS 20 4T5N
101649 - ..
101652 -
101653 -
101654 -
101655 -
1017 -
SUBJECTS
Default Null Subject Account for Blank Record
1103 -
110401 - ..
110402 - MRI Right Knee Post-surgery on 120717
110403 -
110404 -
110405 - 1. San Luis Diagnostic Center
110406 - Beyond Imaging
110407 - 1100 Monterey Street, Suite 210
110408 - San Luis Obispo, CA 93401
110409 - Phone: (805) 542 - 9700
110410 - Fax: (805) 542 - 0584
110412 - ..
110413 - 2. Staff
110428 - ..
110429 - 3. Services
110430 -
110431 - 1. Ultra High Field 3T Open MRI
110432 - 2. Positron Emission Tomography (PET/CT)
110433 - 3. 16-Slice Highspeed CT scanning
110434 - 4. 4D Ultrasonography -Color Vascular Analysis
110435 - 5. Mammography/Stereotactic Breast Biopsy
110436 - 6. MR & CT Angiography
110437 - 7. Radiography/Fluoroscopy
110438 - 8. Needle Biopsies
110439 - 9. 3D Bone Mineral Analysis
110440 - 10. Total Body/Heart Screening
110441 - 11. Virtual Colonoscopy
110443 - ..
110444 - 4. PATIENT:
110448 - ..
110449 - 5. REFERRING PHYSICIAN:
110456 - ..
110457 - 6. EXAM DATE: 07/17/2012
110459 - ..
110460 - 7. EXAM: MRI KNEE W/O CONTRAST RIGHT
110462 - ..
110463 - 8. CI: Knee pain.
110465 - ..
110466 - 9. REFERENCE STUDIES: 02/17/12.
110468 - ..
110469 - 10. PROCEDURE:
110470 -
110471 - Performed on a 3T Tesla Siemens Skyra. Multi-planar and volume
110472 - acquisitions. Data transferred to independent work station for
110473 - 3-D reconstructive analysis.
110475 - ..
110476 - 11. FINDINGS:
110477 -
110478 - 1. MENISCI:
110479 -
110480 - 1. The medial meniscus is post-operative with a diminutive
110481 - appearance of the body and posterior horn. No re-tear
110482 - is evident.
110484 - ..
110485 - Medial meniscus is reported in Wikipedia...
110486 -
110487 - http://en.wikipedia.org/wiki/Medial_meniscus
110489 - ..
110490 - SLDC Right Knee MRI report postoperative 120717 continues...
110491 -
110492 - 2. The lateral meniscus is also postoperative with near
110493 - complete resection of the posterior horn/body junction.
110495 - ..
110496 - Lateral meniscus is reported in Wikipedia...
110497 -
110498 - http://en.wikipedia.org/wiki/Lateral_meniscus
110500 - ..
110501 - SLDC Right Knee MRI report postoperative 120717 continues...
110502 -
110503 - 3. Axial images demonstrate a saw-tooth appearance of the
110504 - apex of the remnant with a small flap tear near the
110505 - anterior horn/body junction.
110507 - ..
110508 - Robin reported that Doctor Lawler objected to radiology finding for 2
110509 - new tears in her right knee cartilage shown in MRI performed on
110510 - 120717, and cited in Robin's letter on 120723 2305. ref SDS 14 978S
110511 -
110512 - [...below on 120726 0753 MRI findings report 2nd
110513 - tear. ref SDS 0 EZ4K
110515 - ..
110516 - [On 120727 0912 Robin's letter reports Doctor Lawler
110517 - disclosed may not have removed enough torn cartilage
110518 - during knee surgery on 120322, and this may be
110519 - causing Robin continuing pain, ref SDS 17 PS36;
110520 - Robin further indicates sciatica pan from neck and
110521 - spine disorders may compound pain in knees.
110522 - ref SDS 17 UV4J
110524 - ..
110525 - [On 120730 1420 letter to Robin suggests asking
110526 - about injection therapy (e.g., prolotherapy), and
110527 - Glucosamine Chondroitin alternative to surgery to
110528 - recover from mistakes in surgery on 120322 that
110529 - resulted in not removing 2 tears in right knee, and
110530 - which caused continuing pain since 120322.
110531 - ref SDS 18 UN5U
110533 - ..
110534 - [On 120731 1630 Robin's letter reports Doctor Lawler
110535 - disputed radiology report finding "tears" as
110536 - inaccurate and inappropriate language that scares
110537 - patients, and further maintained the MRI scans only
110538 - shows "fraying." ref SDS 19 YC47
110540 - ..
110541 - [On 120802 1545 Doctor Schueckler examined Robin's
110542 - knee and MRI scans on 120717, for 2nd opinion
110543 - review, and concurred with radiology report finding
110544 - 2 tears which can cause irritation that results in
110545 - the bulging cyst under the right knee, and that such
110546 - disorders cause continual pain. ref SDS 20 4T4M
110548 - ..
110549 - 2. CRUCIATE LIGAMENTS: Intact.
110551 - ..
110552 - 3. COLLATERAL LIGAMENTS: Intact.
110554 - ..
110555 - 4. PATELLOFEMORAL COMPARTMENT:
110557 - ..
110558 - 5. Patellar and quadriceps tendons are normal. Minimal effusion.
110560 - ..
110561 - 6. JOINT SPACES AND ARTICULAR SURFACES:
110562 -
110563 - 1. There is irregularity of the medial facet cartilage at
110564 - the level of the equator with a small fissure which is
110565 - slightly more prominent than on the earlier study.
110567 - ..
110568 - 2. The trochlear cartilage is unremarkable.
110570 - ..
110571 - 3. The medial compartment cartilage is unremarkable;
110573 - ..
110574 - 4. There has been interim loss of cartilage in the lateral
110575 - tibial plateau with a new excavating horizontal flap
110576 - tear near the site of a prior small area of
110577 - delamination.
110578 -
110579 - [...above on 120726 0753 MRI findings report 2nd
110580 - tear. ref SDS 0 PB3M
110582 - ..
110583 - [On 120727 0912 Robin's letter reports Doctor Lawler
110584 - disclosed may not have removed enough torn cartilage
110585 - during knee surgery on 120322, and this may be
110586 - causing Robin continuing pain, ref SDS 17 PS36;
110587 - Robin further indicates sciatica pan from neck and
110588 - spine disorders may compound pain in knees.
110589 - ref SDS 17 UV4J
110591 - ..
110592 - [On 120731 1630 Robin's letter reports Doctor Lawler
110593 - disputed radiology report finding "tears" as
110594 - inaccurate and inappropriate language that scares
110595 - patients, and further maintained the MRI scans only
110596 - shows "fraying." ref SDS 19 YC47
110598 - ..
110599 - [On 120802 1545 Doctor Schueckler examined Robin's
110600 - knee and MRI scans on 120717, for 2nd opinion
110601 - review, and concurred with radiology report finding
110602 - 2 tears which can cause irritation that results in
110603 - the bulging cyst under the right knee, and that such
110604 - disorders cause continual pain. ref SDS 20 4T4M
110606 - ..
110607 - 5. The step off deformity of the lateral femoral condyle
110608 - cartilage noted inferiorly is better defined than on
110609 - the earlier study and appears slightly larger on this
110610 - study.
110612 - ..
110613 - 7. PERIARTICULAR SOFT TISSUES: Normal.
110615 - ..
110616 - 8. BONES: Unremarkable.
110618 - ..
110619 - 9. OTHER FINDINGS: None significant.
110621 - ..
110622 - 12. IMPRESSION:
110623 -
110624 - 1. Interim postoperative changes involving the lateral and
110625 - medial meniscus as described above with a small flap tear
110626 - of the body/anterior horn junction remnant of the lateral
110627 - meniscus.
110629 - ..
110630 - How can "interim postoperative changes including flap tear occur
110631 - within months of doing almost nothing?
110633 - ..
110634 - Can any surgical activity cause such changes?
110636 - ..
110637 - SLDC Right Knee MRI report postoperative 120717 continues...
110638 -
110639 - 2. Osteoarthritic changes as described, progressive, and most
110640 - marked in the lateral tibial plateau, where the changes are
110641 - new, including an excavating flap tear at the lateral
110642 - margin in this locus.
110644 - ..
110645 - What are common causes of osteoarthritic changes and how rapidly do
110646 - such changes typically occur, and what are common remedies?
110647 -
110648 - [On 120802 1545 Doctor Schueckler examined Robin's
110649 - knee and MRI scans on 120717, for 2nd opinion
110650 - review, and concurred with radiology report finding
110651 - 2 tears which can cause irritation that results in
110652 - the bulging cyst under the right knee, and that such
110653 - disorders cause continual pain. ref SDS 20 4T4M
110655 - ..
110658 -
110659 -
110660 -
110661 -
1107 -
SUBJECTS
Default Null Subject Account for Blank Record
1203 -
120401 - ..
120402 - MRI Left Knee Assess New Pain on 120722
120403 -
120404 - This test was performed on 120723, reported in Robin's letter at that
120405 - time on 120723 2305, ref SDS 14 U79J, and was received from Robin
120406 - attached to her letter today, per above. ref SDS 0 QP4H
120407 -
120408 - 1. San Luis Diagnostic Center
120409 - Beyond Imaging
120410 - 1100 Monterey Street, Suite 210
120411 - San Luis Obispo, CA 93401
120412 - Phone: (805) 542 - 9700
120413 - Fax: (805) 542 - 0584
120415 - ..
120416 - 2. Staff
120431 - ..
120432 - 3. Services
120433 -
120434 - 1. Ultra High Field 3T Open MRI
120435 - 2. Positron Emission Tomography (PET/CT)
120436 - 3. 16-Slice Highspeed CT scanning
120437 - 4. 4D Ultrasonography -Color Vascular Analysis
120438 - 5. Mammography/Stereotactic Breast Biopsy
120439 - 6. MR & CT Angiography
120440 - 7. Radiography/Fluoroscopy
120441 - 8. Needle Biopsies
120442 - 9. 3D Bone Mineral Analysis
120443 - 10. Total Body/Heart Screening
120444 - 11. Virtual Colonoscopy
120446 - ..
120447 - 4. PATIENT:
120451 - ..
120452 - 5. REFERRING PHYSICIAN:
120459 - ..
120460 - 6. EXAM DATE: 07/23/2012
120462 - ..
120463 - 7. EXAM: MRI KNEE W/O CONTRAST LEFT
120465 - ..
120466 - 8. CI: Knee pain. Degenerative joint disease.
120468 - ..
120469 - 9. REFERENCE STUDIES: None.
120471 - ..
120472 - 10. PROCEDURE:
120473 -
120474 - Performed on a 3T Tesla Siemens Skyra. Multi-planar and volume
120475 - acquisitions. Data transferred to independent work station for
120476 - 3-D reconstructive analysis.
120478 - ..
120479 - 11. FINDINGS:
120480 -
120481 - 1. MENISCI:
120482 -
120483 - 1. Minimal myxoid degeneration in the posterior horn of
120484 - lateral meniscus.
120486 - ..
120487 - 2. The medial meniscus is grossly abnormal, beginning in
120488 - the body of the meniscus, there is extensive myxoid
120489 - degeneration that extends into the posterior horn and
120490 - almost into the root attachment.
120492 - ..
120493 - 3. The meniscus is extensively fragmented.
120494 -
120495 - [...above on 120726 0753 letter from Robin submits
120496 - MRI reports, and cites concern that left knee seems
120497 - to have degenerative arthritis disorders.
120498 - ref SDS 0 QP4H
120500 - ..
120501 - [On 120730 1420 letter to Robin submits question for
120502 - meeting with Doctor Lawler to assess Robin's left
120503 - compared to other 50 year old patients who have no
120504 - left knee pain. ref SDS 18 UN4Y
120506 - ..
120507 - 2. CRUCIATE LIGAMENTS: Intact.
120509 - ..
120510 - 3. COLLATERAL LIGAMENTS: Intact.
120512 - ..
120513 - 4. PATELLOFEMORAL COMPARTMENT:
120514 -
120515 - Patellar and quadriceps tendons are normal. No significant
120516 - effusion.
120518 - ..
120519 - 5. JOINT SPACES AND ARTICULAR SURFACES:
120520 -
120521 - 1. Extensive articular thinning and irregularity is seen
120522 - of the mid and posterior MTP.
120524 - ..
120525 - 2. There is fragmentation of the chondral cartilage in the
120526 - posterior MTP.
120527 -
120528 - [...above on 120726 0753 letter from Robin submits
120529 - MRI reports, and cites concern that left knee seems
120530 - to have degenerative arthritis disorders.
120531 - ref SDS 0 QP4H
120533 - ..
120534 - [On 120730 1420 letter to Robin submits question for
120535 - meeting with Doctor Lawler to assess Robin's left
120536 - compared to other 50 year old patients who have no
120537 - left knee pain. ref SDS 18 UN4Y
120539 - ..
120540 - 6. PERIARTICULAR SOFT TISSUES: Normal.
120542 - ..
120543 - 7. BONES:
120544 -
120545 - Extensive fibrovascular change is noted within the
120546 - subchondral bone marrow of the mid and posterior MTP.
120548 - ..
120549 - 8. OTHER FINDINGS: None significant.
120551 - ..
120552 - 12. IMPRESSION:
120553 -
120554 - 1. Extensive fragmentation of the body and posterior horn of
120555 - the medial meniscus.
120557 - ..
120558 - 2. Articular thinning of the superficial cartilage of the mid
120559 - and posterior MTP with fragmentation of the posterior MTP
120560 - superficial cartilage.
120562 - ..
120563 - 3. Subchondral fibrovascular change of the mid and posterior MTP.
120564 -
120565 - [...above on 120726 0753 letter from Robin submits
120566 - MRI reports, and cites concern that left knee seems
120567 - to have degenerative arthritis disorders.
120568 - ref SDS 0 QP4H
120570 - ..
120571 - [On 120730 1420 letter to Robin submits question for
120572 - meeting with Doctor Lawler to assess Robin's left
120573 - compared to other 50 year old patients who have no
120574 - left knee pain. ref SDS 18 UN4Y
120576 - ..
120579 -
120580 -
120581 -
120582 -
1206 -
SUBJECTS
Default Null Subject Account for Blank Record
1703 -
170401 - ..
170402 - Glucosamine Chondroitin Order 2 Bottles Robin
170403 -
170404 - Follow up ref SDS 6 SX5H.
170405 -
170406 - http://shop.costco.com
170408 - ..
170409 - Costco online reports item 402146 is out of stock, as shown in invoice
170410 - for Glucosamine Chondroitin in the record on 120516 1048. ref SDS 6
170411 - P89J
170413 - ..
170414 - Can buy the stuff when I come down next week.
170415 -
170416 -
170418 - ..
1705 -
1706 -
1707 - 2220
1708 -
170801 - Called and left message for Robin that Costco online is out of
170802 - Glucosamine Chondroitin, and that this can be purchased at the Costco
170803 - store in Santa Maria or San Luis Obispo. Alternatively, I can bring a
170804 - bottle.
170805 -
170807 - ..
1709 -
1710 -
1711 - 2329
1712 -
171201 - Letter to Robin says...
171202 -
171203 - 1. Subject: Re: Robin's MRI Reports
171204 - Date: Thu, 26 Jul 2012 23:38:38 -0700
171211 - ..
171212 - 2. Reviewed MRI reports.
171214 - ..
171215 - 3. Called this evening and left message that I tried ordering more
171216 - Glucosamine Chondroitin, but Costco says that item is out of
171217 - stock in their online warehouse.
171219 - ..
171220 - 4. I have 4 bottles, and can bring down 2, or we can get 2 more
171221 - bottles at Costco in Santa Maria, where I got it last September
171222 - for Bob. Maybe there is a Costco in San Luis Obispo that is
171223 - closer than Santa Maria.
171225 - ..
171226 - 5. Recommend taking prescribed dose daily for 2 weeks to assess
171227 - efficacy solving knee pain problems. If pain persists, that
171228 - would signal failure, and so stopping the regimen. I expect
171229 - and hope you will experience considerable relief, as I have.
171231 - ..
171232 - 6. The larger question is what can cause such a high rate of
171233 - degenerative arthritis in both knees? Normally, such extensive
171234 - damage occurs over many years, not a few weeks. As you note,
171235 - your lifestyle does not include high impact activity. Could
171236 - chiropratic and/or physical therapy services have been a
171237 - factor?
171239 - ..
171240 - 7. MRI reports present many questions for Doctor Lawler, and for
171241 - Doctors Schueckler and Fow.
171243 - ..
171244 - 8. Look forward to talking tomorrow.
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