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: June 19, 2017 03:00 PM Monday; Rod Welch

VA Orthopedics meeting Doctor Thuillier recover planttar plate wound.

1...Summary/Objective
2...Right Knee Supartz Injection Treatments Order Right and Left Knee


..............
Click here to comment!

CONTACTS 

SUBJECTS
Right Foot Long Toe Recover Severe Edema Within 2 MM Amputation Usin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3603 -    ..
3604 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
3605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
360501 - Follow up ref SDS 30 0000. ref SDS 29 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
360502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360508 -  ..
3606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3607 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
360801 - On 170417 1330 met with Doctor Thuillier in Orthopedics, where he made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
360802 - referral for Outpatient Physical Therapy to wrap plantar plate tear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
360803 - with plantarflexion taping system. ref SDS 16 5T7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
360805 -  ..
360806 - On 17425 0830 met with Sharlene in Physical Therapy. ref SDS 19 4G5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
360807 - Submitted Rocktape.  Did exercises to evaluate flexibility.  Sharlene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
360808 - prescribed daily calf stretching exercises to strengthen plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
360809 - plates toward preventing further injury. ref SDS 19 GY5J  Sharlene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
360810 - applied Rocktape to protect the right foot plantar plate tear using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
360811 - alternate wrapping method. ref SDS 19 TW5J  Did not tape left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
360812 - ref SDS 19 PQ4L  Did 2 mile hike with good results, reflecting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
360813 - Rocktape applied to right foot, and earlier in the morning taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
360814 - Naproxen. ref SDS 19 SY6N  Returned home and reported good results to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
360815 - Sharlene. ref SDS 19 YN59  She feels Rocktape needs to be replaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
360816 - every three days, ref SDS 19 XQ79,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
360818 -  ..
360819 - On 170427 0830 Sharlene explained that physical therapy cannot provide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
360820 - treatment to aid healing plantar plate tears, in addition to using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
360821 - protective boot and plantarflexion taping; she feels jacuzzi whirl                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
360822 - pool type treatment will not be effective to recover from Plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
360823 - Plate tear injuries. ref SDS 20 E48H  Patient doing additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
360824 - stretching prescribed by Sharlene.  Had best hike in over a year,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
360825 - following taping with Rocktape by Sharlene. ref SDS 20 0E5N  Sharlene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
360826 - used taping scheme again, that Doctor Hewitson demonstrated on 170411.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
360827 - 170427 0830, ref SDS 20 TW5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
360828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
360835 -  ..
3609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3611 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361201 - Checked in OA 1432.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361203 - Did a little work entering Progress Notes for EGD procedure on 161206                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361204 - 1130. ref SDS 3 9N5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
361205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361210 -  ..
3613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
3615 - 1510                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
3616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361601 - Called into Module 2 for meeting with Doctor Thuillier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361603 - Meeting was scheduled by Jane on 170525 0802. ref SDS 30 4G5J  Said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
361604 - hellow to Jane, walking past her in the hallway.  Acknowledged the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361605 - other nurses who are regulars, and so have seen me often the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361606 - years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361608 -  ..
361609 - Follow up prior meeting with Dan on 170417 1330. ref SDS 16 4G5J.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361611 -  ..
361612 - Agenda...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
361613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361614 -    1.  Reviewed background on 170327 the doctor demonstrated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361615 -        plantarflexion care using tape to prevent pronation long toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361616 -        right foot while walking and running, that enables plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361617 -        plate tear to heal. ref SDS 7 774N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361619 -         ..
361620 -    2.  Sharlene in Physical Therapy was effective applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
361621 -        plantarflexion care wrapping long toe on referral from Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361622 -        Thuillier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361624 -         ..
361625 -    3.  The toe developed edema with swelling and bleeding from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
361626 -        blistering using Rocktape.  Since Physical Therapy does not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361627 -        have wound care materials, she referred care to Wound Care.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361629 -         ..
361630 -    4.  Went to Wound Care, where treatment was provided to recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361631 -        from minor edema on long toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361633 -         ..
361634 -        Lana then referred care to Medical Practice for Plantarflexion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361635 -        care.  This did not go well, and care was referred to Podiatry.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361637 -         ..
361638 -    5.  Doctor Tang in Podiatry supported plantarflexion care, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361639 -        began experimenting with modifications to orthotic insert right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361640 -        shoe only for complimentary treatment of plantar plate tear.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361642 -         ..
361643 -    6.  Plantarflexion care worked well to enable hiking without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361644 -        severe pain in right foot plantar plate wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361646 -         ..
361647 -    7.  On 170605 long toe suffered severe edema from plantarflextion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361648 -        care, caused by reaction to Rocktape, see picture...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361650 -   
361651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361652 -   
361654 -         ..
361655 -    8.  On 170605 began treating long toe right foot with Hydrofera                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361656 -        Blue Bacteriostatic dressing, available from Lana for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361657 -        concurrent treatment in Wound Care for hemotoma on lower left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361658 -        leg.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361660 -         ..
361661 -    9.  On 170608 Doctor Tang in Podiatry advised the long toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361662 -        condition on 170605, came within 2 mm of having to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361663 -        amputated, ref SDS 31 673M, and recovered after treatment with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361664 -        Hydrofera Blue. ref SDS 31 744H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
361666 -         ..
361667 -        He recommended ending plantarflexion care using Rocktape.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361668 -        required pausing hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361670 -  ..
361671 - Today, Doctor Thuillier cited Doctor Tang's Progress Notes on 170608.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361673 -         ..
361674 -   10.  Doctor Tang made further modifications to right foot orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361675 -        insert to relieve pressure on plantar plate tear, and issued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361676 -        instructions to test results of modifications with hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361677 -        toward finalizing refinements to mitigate plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
361678 -        injuries, and then ordering new set of orthotic inserts that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361679 -        implement modified design. ref SDS 31 W24L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
361681 -         ..
361682 -        Scheduled to see Doctor Tang on 170623 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361684 -         ..
361685 -   11.  On 170613 toe substantially recovered....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
361686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361687 -   
361689 -         ..
361690 -   12.  Yesterday, bought elastic-felt tape and wrapped long toe to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361691 -        replace Rocktape.  This can be done by patient and removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
361692 -        after hiking to enable toe to rest overnight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361694 -         ..
361695 -        Did trial hike 3 miles and had good results, shown by improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361696 -        condition of toe today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
361698 -  ..
361699 - Doctor Thuillier examined new wrapping material.  He feels this is a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361700 - good solution for injury to long toe suffered in this case.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
361702 -  ..
361703 - The doctor showed on the computer screen another wrapping device for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361704 - plantarflexion care, which will be less traumatic to the toe, and be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361705 - easier for the customer to put in place and remove, that conventiona                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361706 - adhesive tape, which was demonstrated in the meeting on 170327 1430.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361707 - ref SDS 7 774N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361709 -  ..
361710 - He wrote the name of the device...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361712 -  ..
361713 - Later could not make out handwriting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
361715 -  ..
361716 - During the meeting, he submitted a letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
361717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361719 -         ..
361720 -   13.  Plantar plate wound - consider cutting relief in top layer of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
361721 -        orthotic insert and either leaving open or filling with soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
361722 -        material to prevent pressure on planter plate and reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361723 -        promation of long toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
361725 -  ..
361726 - Doctor Thuillier said this scheme might be helpful for enabling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361727 - plantar plate to heal.  He commended patient initiative, and is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361728 - pleased Doctor Tang is experimenting in Podiatry to fashion an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
361729 - orthotic insert that prevents further injury to right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
361730 - plate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
361731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
361732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Default Null Subject Account for Blank Record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
370401 -  ..
370402 - Right Knee Supartz Injection Treatments Order Right and Left Knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
370403 - 
370404 - Follow up ref SDS 7 HG8M, ref SDS 5 0234.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
370405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370406 -   14.  Supartz order 6 month line treatment with another 3 injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
370407 -        for right knee, and also 3 injections for left knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
370409 -  ..
370410 - Doctor Thuillier will order another Supartz treatment for both left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
370411 - and right legs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370413 -  ..
370414 - Thanked the doctor for a great meeting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
370415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370416 -            [On 170628 0840 visited Jane in Orthotpeics; she found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
370417 -            Doctor Thuillier's order for Supartz injection treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
370418 -            in both knees, and so scheduled the work on 170731.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
370419 -            ref SDS 33 4G5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
370421 -  ..
370422 - The doctor indicated the meeting went extremely well, working from an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
370423 - agenda with links to relevant patient history for checking context.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
370424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370426 -  ..
370427 - On leaving the clinic examination area, said good bye to the nurses,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
370428 - who have provided good assistance and care on prior visits.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
370430 -  ..
370431 - Doctor Alexis Dang was standing on the corner.  He said hello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
370432 - and asked how the meeting went?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370434 -  ..
370435 - Explained everything on the agenda was reviewed.  Doctor Thuillier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
370436 - found good progress applying plantarflexion care to recover from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
370437 - plantar plate tear, and he offered new ideas to advance recovery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
370438 - Doctor Thuillier further ordered another series of 3-injections with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
370439 - Supartz for right knee, and he ordered the same care for left knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
370440 - planned previously on 170327 1430. ref SDS 7 HG8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
370442 -  ..
370443 - Doctor Dang was pleased that Supartz treatments he ordered on 161212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
370444 - 1632, ref SDS 4 5U93, has worked pretty well on the right knee, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
370445 - that this justifies another phase treating both knees with Supartz.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
370446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
370454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
3705 -