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: September 4, 2014 09:00 AM Thursday;
Rod Welch
VA meeting Podiatry resolve blister to train for hiking Half Dome.
1...Summary/Objective
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CONTACTS
SUBJECTS
VA Podiatry Review Metatarsalgia Pain Balls of Feet Enable Physical
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 33 0000. ref SDS 31 0000.
040502 -
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040506 -
040507 -
040509 - ..
0406 -
0407 -
0408 - Background
0409 -
040901 - Meeting Doctor Tang in Podiatry on 140805 1030. ref SDS 25 NU4G
040902 - Progress Notes for meeting on 140805, call for return to clinic after
040903 - receiving FFO. ref SDS 25 IJ4G A few days after meeting on 140805,
040904 - received letter from VA scheduling follow meeting today on 140820
040905 - 1000.
040907 - ..
040908 - Wound on left big toe looked infected, and may account for elevated
040909 - WBC 12.8 on recent lab performed at Martinez VA on 140814 1530,
040910 - ref SDS 29 RP4N
040912 - ..
040913 - On 140819 Doctor Sandhu, Primary Care Martinez VA Clinis examined the
040914 - wound and ordered follow up lab. 140819 0800, ref SDS 30 318I
040916 - ..
040917 - On 1408, 140827 follow up lab showed WBC 13.8 increased. ref SDS 32
040918 - RP4N
040920 - ..
040921 - On 140828 meeting with Doctor Kevin Daun and later with Doctor Mihara,
040922 - attending developed solution to blister on inside of big toe on left
040923 - foot, ref SDS 33 W74O, that required stopping 11 mile hike after 8
040924 - miles and calling for a ride home, shown in case study on 120101 0900.
040925 - ref SDS 2 BO6F
040926 -
040928 - ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Meeting with Doctor Cynthia Lieu and Doctor Tang, attending.
041303 - ..
041304 - Issues for meeting...
041305 -
041306 - 1. Orthotic inserts ordered on 140805 size 9, ref SDS 25 1F31,
041307 - presented in the letter to the VA on 140806 1753.
041308 - ref SDS 26 XF77
041310 - ..
041311 - Doctor Tang said orthotics can be trimed to fit a smaller shoe, if
041312 - necessary.
041313 -
041315 - ..
041316 - 2. Sore big toe left foot, treated effectively in ER on 140828
041317 - 0833. ref SDS 33 WS3H Hiking on Tuesday, 140902, seemed
041318 - reveal new problem on bottom of toe, shown in case study on
041319 - 120101 0900. ref SDS 2 FG3F
041321 - ..
041322 - Can bandage system be applied to relive pressure on this
041323 - new sore area?
041325 - ..
041326 - During the meeting the sore seems to have subsided, so there was no
041327 - recommendation on this issue.
041328 -
041330 - ..
041331 - 3. Blister toe next to little toe on left foot, could this be
041332 - caused by Superfeet orthotic inserts purchased from Fleet
041333 - Feet on 140827. 140828 1203, ref SDS 34 Z37J
041335 - ..
041336 - Best bandaging scheme?
041338 - ..
041339 - Ordinary bandage wrap should work.
041341 - ..
041342 - Doctor Tang recommended getting non-cotton blend socks, to avoid
041343 - blisters...
041344 -
041345 - Thor-lo socks
041347 - ..
041348 - The doctor's advice today, aligns with Kathie's recommendations during
041349 - the meeting at Fleet Feet on 140726 1030. ref SDS 20 EJ6M
041350 -
041351 - [On 140905 1027 ordered from Amazon 10 pair Thorlo Men's
041352 - Coolmax Lt Hiker Crew Sock. ref SDS 35 AK6J
041354 - ..
041355 - 4. Evaluate orthotic inserts - Superfeet and Good Feet; Fleet
041356 - Feet maintains...
041357 -
041358 - 1. Heel of feet should be elevated to reduce tight calf
041359 - problem, causing shoes to wear out after 1 month use.
041360 - 140828 1203, ref SDS 34 Z37J
041362 - ..
041363 - 2. Feet should be flat on the ground rather than tilted, so
041364 - got Superfeet orthotic inserts, reported on 140828 1203.
041365 - ref SDS 34 N43H Good Feet inserts cause pronounced tilt
041366 - of feet, shown by extreme uneven wear of 1st pair Hoka
041367 - Stinson Trail shoes, worn today for illust4ration.
041369 - ..
041370 - Doctor Tang recommended customer should get whatever orthotic inserts
041371 - feels most comfortable, pending receipt of custom inserts from VA
041372 - ordered on 140805, and due in the first week of October.
041374 - ..
041375 - Asked the doctor to enter in the Progress Notes the shoegear
041376 - recommendations he wrote on the back of his business card during the
041377 - meeting on 140805, which was not legible enough to take action.
041378 - ref SDS 25 1F56 and further shown in Progress Notes. ref SDS 25 UD5K
041380 - ..
041381 - Doctor Lieu typed into this record during the meeting using notebook
041382 - computer c16, used to display the agenda for the meeting, the
041383 - following explained by Doctor Tang, as shoes to investigate for
041384 - alternatives to Hoka Stinson Trail shoes...
041385 -
041386 - Brooks Adrenaline versus Brooks Addiction
041388 - ..
041389 - He seemed to indicated the Brooks line of running shoes has more
041390 - duralbe outer soles that last longer hiking extended mileage.
041391 -
041392 - [On 140905 1058 investegated buying Brooks Addiction
041393 - running shoes. ref SDS 36 AK6J
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0415 -