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: 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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CONTACTS 
0202 - Microfit, Inc                                                                                                                                                      O-00000310 0102                                                                                                                                                                                                                                                                                                                                                                                                                                  
020201 - Mr. Rob Rideout                                                                                                                                                  O-00000310 0102                                                                                                                                                                                                                                                                                                                                                                                                                                  
020202 - Executive Vice President Sales  
020204 - Executive Offices                                                                                                                                                O-00000310 0102                                                                                                                                                                                                                                                                                                                                                                                                                                  

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.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
051464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0515 -