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: March 10, 2013 00:03 AM Sunday; Rod Welch

Robin letter updating medical and other stuff.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 57 0000. ref SDS 56 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040507 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Letter to Robin saying...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040903 -    1.  Subject:  Deeply Conflicted at the Moment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040904 -        Date:  Sun, 10 Mar 2013 01:45:54 -0800                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040911 -         ..
040912 -    2.  Saw a movie recently on everybody pitching in at the start of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040913 -        world war II in about 1941.  It centered on the lives of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040914 -        several people working at Lockheed Aircraft in Burbank,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040915 -        California.  Their particular stories illustrate how people can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040916 -        unite with energy and commitment, setting aside personal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040917 -        differences to collaborate that yields spectacular results in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040918 -        common cause.  Makes one yearn for the wartime imperative of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040919 -        survival as the only cause big enough to bring people together.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040920 -        I was drawn to the story because my parents lived that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040921 -        experience.  My dad worked at the Lockheed Burbank factory,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040922 -        which was the main set in this movie.  It was fascinating to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040923 -        see details of their daily life at home and on the job at that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040924 -        time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040926 -         ..
040927 -    3.  Family lore indicates my dad evidently thrived rising to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040928 -        leadership as a supervisor of some kind, either in design,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040929 -        assembly, or testing of aircraft, or possibly administration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040930 -        Since you had a lot more time with my mother than I did, you                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040931 -        may know more details of these early years in their lives,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040932 -        i.e., what happened to that career?  Whey did he leave the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040933 -        company after the war ended?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040935 -  ..
040936 - Mention movies, because Robin commented favorably in her last letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040937 - on 130218 2220, ref SDS 56 LQ5H, on a movie review in a letter to her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040938 - on 130217 0003. ref SDS 55 K735                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040940 -  ..
040941 - Letter to Robin continues...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040943 -    4.  So, this evening going down memory lane again watching "The Big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040944 -        Chill."  It tells the story of 5 or 6 close friends pursuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040945 -        radical politics at college in the late-60s, who then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040946 -        sides and achieved financial success all traveling disparate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040947 -        paths.  In the mid-80s they are brought together attending a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040948 -        funeral for one of their fiends who committed suicide.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040949 -        movie tells their separate stories and then weaves a beautiful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040950 -        tapestry of self-discovery, renewal and commitment for their                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040951 -        weekend reunion visit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040953 -         ..
040954 -    5.  Thanks very much for transmitting guidance on drinking water to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040955 -        reduce risks of coronary artery disease (CAD) [...Robin's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040956 -        letter on 130228 2110. ref SDS 57 LQ5H...].  This reinforced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040957 -        switching to water with less reliance on my standard "drink" of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040958 -        lemon juice, grape juice and Doctor Pepper/Squirt.  While                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040959 -        complete transition is a work in progress, have been pretty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040960 -        good sticking with water since your letter.  Millie drank a lot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040961 -        of water.  She bought bottled water at Costco, and encouraged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040962 -        me in this direction.  Now, 3 years later, so far tap water has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040963 -        worked for me, though not without deep and emotional conflicts.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040965 -         ..
040966 -    6.  When I'm working late at night like now, suddenly the standard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040967 -        "drink" seems extremely appealing.  Next thing you know, I go                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040968 -        downstairs like a zombie and start to fix "the drink." Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040969 -        Millie taps me on the shoulder and says: "Gee Rod, you really                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040970 -        shouldn't."  So I stop and go back upstairs, but before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040971 -        reaching the 2nd floor, the thought occurs that just one                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040972 -        "drink" won't be a killer, and turn back to the kitchen.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040973 -        sometimes I return with "the drink," and other times Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040974 -        wins and it's water afterall.  What a struggle.  Like when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040975 -        people quit smoking, I am deeply conflicted.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040977 -         ..
040978 -    7.  Sooooo, please pray that water wins the conflict, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040979 -        recommended in your letter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040981 -         ..
040982 -    8.  If I can substantially reduce the sugar-laden grape juice and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040983 -        soft drink combination, should save money, lose weight, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040984 -        make the cardiologist less prone to heart attack when he checks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040985 -        cholesterol labs in 3 months.  Clearly, a win - win scenario.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040987 -         ..
040988 -    9.  The lab on 28 Feb did not go well.  There were some bright                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040989 -        spots showing that ending Rosuvastatin prescribed to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040990 -        cholesterol has had the good result of ending and reducing bad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040991 -        side effects.  Hooray!!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040993 -         ..
040994 -   10.  One of the best results is near-resolution of peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040995 -        neuropathy that causes "pins and needles" (parathesia) effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040996 -        mostly in my right foot.   You are correct saying in your                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040997 -        letter on February 18th, this problem occurred August 5th, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040998 -        you took me to Kohl's in SLO to upgrade my wardrobe (see my                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040999 -        letter the next day on 130806, ref SDS 11 LY7U).  You were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041000 -        terrific holding my place in line for the fitting room, while I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041001 -        did laps in the store to resolve the episode.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041003 -         ..
041004 -   11.  On Feb 22, met with the team at the VA Medical Center in San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041005 -        Francisco to determine what caused these symptoms and prescribe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041006 -        treatment.  An earlier diagnosis cited spinal stenosis [...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041007 -        reported to Robin in a letter on 130128 0212, ref SDS 50 597P,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041008 -        and referencing meeting with Doctor Stewart at the VA on 130122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041009 -        1330, ref SDS 49 0S3K...].  However thorough examination on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041010 -        22nd, determined there is no evidence of spinal stenosis nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041011 -        diabetes, which are the leading causes of peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041012 -        neuropathy.  Whew!  Seemed to have dodged another bullet or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041013 -        two, since both are bad news with no actual cure available.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041015 -         ..
041016 -   12.  This leaves only Rosuvastatin as the cause of symptoms.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041017 -        parathesia (pins and needles) are an express side effect of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041018 -        Rosuvastatin, and since symptoms gradually declined after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041019 -        ending the drug on 121206, that seems like "case closed."  It's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041020 -        not that simple.  All the doctors consulted so far resist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041021 -        Rosuvastatin as causing my particular problem.  The good news                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041022 -        is that for whatever reason symptoms have nearly ended.  Cannot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041023 -        remember when I last had an attack.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041025 -         ..
041026 -   13.  This made for a challenging meeting on March 4th, with the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041027 -        cardiologist.  Doctor Egan wanted to resume Rosuvantatin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041028 -        bring down cholesterol which had soared after ending treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041029 -        3 months earlier on 6 Dec, and hiking only 400 miles during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041030 -        test period.  I declined in order to avoid recurrence of side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041031 -        effects - peripheral neuropathy, severe dehydration and other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041032 -        issues.  The doctor didn't have another drug to replace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041033 -        Rosuvastatin because it is their best "bullet" for reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041034 -        cholesterol.  I had already taken their other drugs, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041035 -        only partially helpful, and eventually became ineffective,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041036 -        i.e., after dropping cholesterol significantly, but not to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041037 -        target level, cholesterol began to rise again, so we switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041038 -        to Rosuvastatin.  However, the same pattern occurred with it,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041039 -        along with severe side effects.  This is the proverbial "rock                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041040 -        and hard place" we all pray to avoid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041042 -         ..
041043 -   14.  We ended the meeting filled with hope???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041045 -         ..
041046 -   15.  Hope my body and discipline hold up for getting back to hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041047 -        700 miles achieved in October, November and December.  While                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041048 -        cholesterol increased hiking only 400 miles the past 3 months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041049 -        it decreased the prior 3 months.  Hope increased exercise along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041050 -        with diet change with better portion control, more oats, bran,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041051 -        water, etc., can be maintained to drop weight down to 165.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041052 -        Hope these changes will bring cholesterol in line with medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041053 -        goals of HDL < 70 for my status as a CAD patient.  If so, or if
041054 -        not, hope a promising new drug with less side effects and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041055 -        better control of cholesterol will be approved for prescribing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041056 -        in June when we meet again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041058 -         ..
041059 -   16.  Was very pleased the doctor ended the meeting on a positive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041060 -        note citing weight loss over the past year since February 2012.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041061 -        A week ago on March 4, weighed about 180, down from 195 a year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041062 -        ago.  Laughed and explained I was down to 170 in mid-December,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041063 -        and since then bounced up to 180 in mid January.  Then got sick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041064 -        for a week and dropped back to 172, only to wind up at 180 the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041065 -        end of February.  Seems we have another "conflict."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041067 -         ..
041068 -   17.  Will be interesting to see how things go the next 3 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041069 -        Have not started well.  After missing several weeks of hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041070 -        leading up the the meeting on 4 March, got out and did some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041071 -        laps in very good times, but then work and circumstances have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041072 -        again curtailed hiking.  Hope springs eternal, tomorrow or the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041073 -        next day can get into another sting of going out 16 days in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041074 -        row.  Pray for me...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041076 -         ..
041077 -   18.  Fun project Saturday (now yesterday).  Remember we did an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041078 -        armoire renovation project last year in January and February.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041079 -        This led to having a bunch of computer cables strewn across the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041080 -        floor.  Today, had a contractor in to finally fix this by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041081 -        putting cables overhead in the ceiling, and handling others                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041082 -        with a better route, so the place looks more like a bedroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041083 -        than a garage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041085 -         ..
041086 -   19.  A week or so ago did spring cleaning.  Finally, found the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041087 -        vacuum cleaner and figured out how to plug it into the wall and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041088 -        flip the switch.  Moved all the furniture off the floors                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041089 -        upstairs and down, and did a major spring cleaning thing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041090 -        Millie is smiling now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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0412 -