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 -
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521038 -
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