THE WELCH COMPANY
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San Francisco, CA 94111-2496
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rod@welchco.com
S U M M A R Y
DIARY: July 23, 2017 09:17 PM Sunday;
Rod Welch
Joyce letter on risks hiking Half Dome on 170913.
1...Summary/Objective
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SUBJECTS
China Presentation Exercise Health Hiking Raise HDL EPCs Regress Ath
0503 -
0503 - ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS 42 0000. ref SDS 41 0000.
050502 -
050503 -
050504 -
050505 -
050506 -
050508 - ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Received letter from Joyce with copy to Rob, saying...
050902 -
050903 - 1. Subject: RE: Fwd: Injection Treatment Advance Healing Plantar Plate Tear
050904 - Date: 2017-07-23 09:29
050911 - ..
050912 - 2. Your life story sounds to me like, well, Rodney today you are
050913 - feeling a bit better, the injection treatment for "advanced
050914 - healing planter plate tear" that I didn't get, just the
050915 - thought, seems to be working!
050917 - ..
050918 - Joyce responds to the letter yesterday, on 170722 0853. ref SDS 42
050919 - U53K, saying meeting in Los Angeles with Doctor Darrow did not result
050920 - in treatment, but yielded guidance for making arrangements to get
050921 - injection therapy in time for hiking Half Dome on 170913, ref SDS 42
050922 - 4U6G, and confirming comments during Rob's call the day before,
050923 - reported on 170721 1929, ref SDS 41 MV5H
050925 - ..
050926 - Joyce has correctly summarized some reporting in the case study on
050927 - 160101 for hiking, diet, medications.., where some days recently, the
050928 - thought has occurred that treatment for right foot plantar plate tear
050929 - may not be needed, because there was pain level 0 on 11 mile hikes,
050930 - e.g., on 170713, ref SDS 11 QYRQ, and again the day before meeting
050931 - with Doctor Darrow, there was pain level 0 in right foot on 170716.
050932 - ref SDS 11 GM6O
050934 - ..
050935 - Of course it is not the "thought that seems to working," but rather it
050936 - was thought that the body's natural healing process may be working
050937 - fast enough to avoid medical treatment.
050939 - ..
050940 - Amazing Joyce would have invested time to read through a lot of text,
050941 - and found this very detailed reporting, but in any case she captures
050942 - the gravamen of the record that hiking has costs of pain that require
050943 - a lot care to realize benefits.
050945 - ..
050946 - Letter from Joyce continues...
050947 -
050948 - 3. I think I'll go do the half Dome hike and tourcher my knees,
050949 - have a helicopter rescue, and report the pain/damage to my Dr.
050951 - ..
050952 - Seems like Joyce may have invested a lot of time reading the record
050953 - hiking Half Dome last year, on 160914, that references at line 094815
050954 - possible medivac chopper rescue cited in case study on 160101 0700,
050955 - ref SDS 11 1F5M What a terrific, focused person she is.
050957 - ..
050958 - Reference to "torchering" knees overstates risks of hiking in ignoring
050959 - benefits of increasing HDL, and lowering weight, and also blood
050960 - pressure by maintaining elasticity of blood vessels.
050962 - ..
050963 - Increasing HDL with hiking regresses and prevents plaque buildup in
050964 - blood vessels through return cholesterol transport (RCT), reported in
050965 - the record on 131125 0005. ref SDS 9 HG7N Increased blood flow
050966 - maintains knees and other musculoskelital systems, along with
050967 - cardiovascular, digestive, immune, neurological systems that thrive on
050968 - increased blood flow.
050970 - ..
050971 - Letter from Joyce continues...
050972 -
050973 - 4. Then I'll rest awhile, repeat the cycle, then think about when
050974 - I get to be the ripe old age of my sister, Joyce of 77, I'll
050975 - have my knees/hips/back replaced.
050977 - ..
050978 - I luuuuvvv having Joyce for a sister, along with Sally and Marsha and
050979 - Robin. Like Kathy, these are beautiful, smart, charming women who
050980 - enrich my life every day.
050982 - ..
050983 - When I was younger in late 50s early 60s, had continual hip, back,
050984 - shoulder and neck pain. After Millie got me hiking those pains went
050985 - away and have not returned, reported to Doctor Simpson in Cardiology
050986 - on 161012 1000. ref SDS 16 GG6H
050988 - ..
050989 - Letter from Joyce continues...
050990 -
050991 - 5. While I'm recovering , in horrendous pain, I'll think of
050992 - what's next? What I can do with my new hips and knees to make
050993 - them feel like the old ones?
050995 - ..
050996 - 6. No, no, no!!! ~ I'll think about swimming, wonderful refreshing
050997 - walks on the beach, around lakes, etc, etc, and enjoy a pain
050998 - free life! WOW!
051000 - ..
051001 - 7. I just got carried away in your pain!
051003 - ..
051004 - The record on exercise, diet, etc, that Joyce read through presents
051005 - pain from hiking for the purpose of measuring response to treatment
051006 - recovering with various modalities.
051008 - ..
051009 - Letter from Joyce continues...
051010 -
051011 - 8. Dr Joyce's recommends: let your knees recover, & heal. DON'T
051012 - DO HALF DOME! I don't want to visit you in the hospital and
051013 - have that look in my eyes that says: "I TOLD YOU SO!"ðxܨ
051015 - ..
051016 - 9. You can ask Rob about that? Over and out! ðxÜ~
051018 - ..
051019 - Very fortunate having Joyce strongly express her views.
051021 - ..
051022 - Letter from Joyce continues...
051023 -
051024 - 10. Good ðxý¬ ~ reJOYce ðx~
051026 - ..
051027 - 11. Joyce Tarter Rideout
051028 - JoyRide@love.com
051029 - JoyEscapes.com/
051030 - cfphotographers.org/tarter1/
051031 - â¬SSometimes I do get to places just when
051032 - Godâ¬"s ready to have somebody click the shutter.â¬ý
051033 - ~ Ansel Adams
051034 -
051035 -
051037 - ..
0511 -
0512 -
0513 - 2247
0514 -
051401 - Letter to Joyce says...
051402 -
051403 - 1. Subject: Hiking Health and Half Dome
051404 - Date: 2017-07-23 23:59
051409 - ..
051410 - 2. Dear Joyce,
051412 - ..
051413 - 3. Luuuuvvv having you for a "sister." Seeing you write this in
051414 - your letter with such deep, earnest feelings earlier today,
051415 - shown below, is a pleasure that enriches my life beyond mere
051416 - words. It's like talking to Sally - getting a letter from
051417 - Marsha. Feel the same about my cousin, Robin.
051419 - ..
051420 - References Joyce's letter today, per above. ref SDS 0 TF6K
051422 - ..
051423 - Letter to Joyce continues...
051424 -
051425 - 4. Additionally, I am amazed and grateful that you so accurately
051426 - captured the gravamen of the record on exercise, diet, etc, to
051427 - frame the constant tension between exercising for health
051428 - without causing injury, i.e., balancing costs and benefits.
051429 - You and Rob meet this challenge in your strong commitment to
051430 - tennis.
051432 - ..
051433 - 5. In my case, hiking has been a salvation from innate genetic
051434 - weakness that drives cardiovascular disease, shown by heart
051435 - surgery in 2009. This benefit costs some pain that requires
051436 - specialized medical care. You maintain the cost is too high,
051437 - i.e., too painful. Actually, have not had knee pain for some
051438 - time with Supartz injections, due to be renewed next week on
051439 - 170731. Similarly, metatarsalgia feet pain has subsided the
051440 - past few months. Next Wednesday, hoping treatment with
051441 - injection therapy using dextrose or platelet rich plasma (PRP)
051442 - will equally resolve painful plantar plate tear in the right
051443 - foot.
051445 - ..
051446 - 6. Doctor Simpson, published cardiologist at UCSF Medical Center,
051447 - noted in a meeting on 161012, that I am the best patient he has
051448 - ever had. ref SDS 16 K589 Not sure, but the doctor may be
051449 - about our age, and so has had a lot patients. Since apart from
051450 - the plantar plate tear, and related blisters, I seem a lot
051451 - healthier than in 2009, shown by hiking Half Dome, this
051452 - supports continued efforts to maintain hiking.
051454 - ..
051455 - 7. Half Dome is a different matter. If I am not sufficiently
051456 - patched up on Sep 13, then will not do the hike. Even if I
051457 - seem okay to start, if I feel problems during the hike, then it
051458 - is a simple matter to stop and return. Have started 6 Half
051459 - Dome hikes since 1994, and only completed 2, so I am sensitive
051460 - to my limitations.
051462 - ..
051463 - 8. Please continue to present your perspective on this stuff.
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0515 -