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: April 18, 2016 04:00 PM Monday; Rod Welch

VA Orthopedics meeting reviewed right knee MCL injury.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
5203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5203 -    ..
5204 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
520501 - Follow up ref SDS 5 0000. ref SDS 3 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
520502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520508 -  ..
5206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5208 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
5209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
520901 - Talked to TJ who works with Dana in Orthopedics.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
520902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520903 -                    415-221-4810 and talked to operator                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520905 -       ..
520906 -      Orthopedics...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
520907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520908 -                    415-221-4810 25672                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
520910 -       ..
520911 -      Actual extension...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
520912 -                                 23257                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
520913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520915 -  ..
520916 - All meetings with Orthopedics are after 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
520918 -  ..
520919 - She scheduled meeting today on 160418 at 1600, implementing referral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
520920 - from Doctor Tang.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520922 -  ..
520923 - This will follow up prior meeting in orthopedics on 151216 1315.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
520924 - ref SDS 3 JN3J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
520926 -  ..
520927 - TJ will check with Doctor Dang, attending physician in Orthopedics, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520928 - order MRI on right knee that will supplement xray study performed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
520929 - 151216 1130. ref SDS 2 XH9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520931 -  ..
520932 - There are 2 Doctor Dang's listed for the VA Medical Center in San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520933 - Francisco...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
520934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520935 -        Alan Dang, MD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
520936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520937 -              http://orthosurg.ucsf.edu/home/faculty/biography/alan-dang-md/                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520941 -         ..
520942 -        Alexis, Dang, MD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
520943 -        Assistant Professor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
520944 -        Sports Medicine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520946 -              http://orthosurg.ucsf.edu/home/faculty/biography/alexis-dang-md/                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520948 -         ..
520949 -        Doctor Dang's biography seems promissing - he specializes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
520950 -        sports medicine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
520951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520952 -              http://orthosurg.ucsf.edu/home/faculty/biography/alexis-dang-md/#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520955 -  ..
520956 - Would be helpful to meet with Doctor Alexis Dang, with emphasis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520957 - sports medicine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
520959 -  ..
520960 - Called back and left message for Dana to request that Doctor Dang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520961 - order MRI to evaluate right knee, to implement work plan Doctor Rao                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
520962 - presented in Progress Notes on examination of right knee injury on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520963 - 150729 0800. ref SDS 1 3Z3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520965 -  ..
520966 - Background on right knee injury listed on 160412 1227. ref SDS 4 WF5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
520967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520969 -  ..
520970 - Knee brace designs are shown on Amazon...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
520971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520972 -              http://www.amazon.com/s/?ie=UTF8&keywords=knee+brace+for+runners+knee&tag=googhydr-20&index=aps&hvadid=64533213319&hvpos=1o1&hvexid=&hvnetw=g&hvrand=12840886290028763482&hvpone=&hvptwo=&hvqmt=b&hvdev=c&ref=pd_sl_1ffrvsm0n_b                                                                                                                                                                                                                                                                                                              
520974 -  ..
520975 - Donjoy has innovative knee brace designs...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
520976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520977 -              http://www.donjoyperformance.com/knee?gclid=COyXmcfnmMwCFQ5qfgodmbcAuQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
520978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520980 -  ..
520981 - Met with Doctor Patrick Curran, with Doctor Alexis Dang attending,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520982 - who has experience with sports medicine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
520984 -  ..
520985 - Doctor Curran examined right knee.  He bent and twisted the knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520986 - These maneuvers did not cause pain.  He pressed against the inside                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
520987 - are of right knee where MCL is located.  This did not cause pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520988 - The doctor asked where the knee hurts?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520990 -  ..
520991 - Ran right index finger along along the left edge of the patella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
520992 - (kneecap).  Then absent mindedly tapped along the left side of the leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
520993 - at this knee location, and commented this area does not hurt.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
520994 - However, without intent tapped a little lower, and that hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
520995 - immediately at pain level 7 or 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
520997 -  ..
520998 - Doctor Curran pressed this area.  This did not hurt.  He then tapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
520999 - it, and that caused pain level 7 - 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521001 -  ..
521002 - The doctor expects severe pain in right knee during 11 mile and 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
521003 - mile hikes is caused by MCL tear.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
521005 -  ..
521006 - He ordered MRI radiology to assess scope of injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521008 -  ..
521009 - Doctor Curran ordered metal brace for the right knee, which he feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
521010 - will be more effective than Futuro brace purchased from CVS on 160413                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521011 - 1500. ref SDS 6 A57V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
521012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
521013 -            [On 160425 1536 Caroline called from VA Radiology at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
521014 -            Medical Center in San Francisco, scheduled MRI right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
521015 -            to be performed at 0800 same day meeting Doctor Simpson in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521016 -            Cardiology and Luara in Medical Practice for Primary Care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521017 -            ref SDS 7 1F6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
521019 -  ..
521020 - The doctor advised MCL tear injuries can take 6 weeks to heal, and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521021 - the patient should rest during this period, rather than engage in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
521022 - heavy athletic activity.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
521024 -  ..
521025 - Discussed hiking during this period to maintain labs required for CVD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521026 - health.  Doctor seemed to indicate that walking will not overstress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
521027 - the knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
521029 -  ..
521030 - Will meet in 1 month to evaluate progress of recovery and adjust line                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
521031 - of care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
521032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
521033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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521038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
521039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
521040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
521041 -