CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 4 0000.
040502 -
040503 -
040504 -
040505 -
040506 - [...below on 170727 1747 at 1027 submitted letter
040507 - confirming telecon report of good results day after PRP
040508 - injection therapy, including patient report on the work
040509 - performed. ref SDS 0 RK5H
040510 -
040511 -
040512 -
040513 -
040514 -
040516 - ..
0406 -
0407 -
0408 - Progress
0410 - ..
041001 - Doctor Tucker asked how the patient is doing after PRP injection
041002 - therapy she did yesterday, reported on 170726 1600. ref SDS 4 PP4N
041004 - ..
041005 - Said fine. There has been no pain. Some minor swelling in balls of
041006 - feet. Left knee is slightly stiff.
041007 -
041008 - [...below on 170727 1747 at 1027 submitted letter
041009 - confirming telecon report of good results day after PRP
041010 - injection therapy, including patient report on the work
041011 - performed. ref SDS 0 RK5H
041013 - ..
041014 - Doctor Tucker said I can walk around the block tomorrow, and on
041015 - Saturday, do 3 miles at Lafayette, but just go slow. After doing that
041016 - for a few days, if there is still no pain in the feet, then try 7
041017 - miles - but go slow. Just build up gradually.
041018 -
041019 - [...below on 170727 1747 at 2334 letter asks Doctor Tucker
041020 - about icing feet and applying Diclofenac gel 1% before low
041021 - level hiking she prescribed hiking to reduce inflammation
041022 - after getting injection therapy with PRP 2 the day before
041023 - on 170726, and also icing feet after hiking. ref SDS 0 XM5J
041025 - ..
041026 - This seems significant clarification from understandings on leaving
041027 - the office after the procedure on 170726 1600. ref SDS 4 7N5N
041029 - ..
041030 - Explained this new protocol is a lot better than prior understandings
041031 - that had to be off the feet for 2 weeks, and no hiking for 6 weeks.
041033 - ..
041034 - Doctor Tucker said I seem to be doing beautifully, so go for it.
041036 - ..
041037 - She recommended considring a metatarsal bar that somehow will help
041038 - prevent recurrence of injury, by complementing the new orthotic
041039 - inserts received recently, and which Doctor Tang developed after a
041040 - month of trying alternative designs, received a few days ago on 170725
041041 - 1636. ref SDS 3 KD8H
041043 - ..
041044 - Earlier research on metatarsalgia recommended "metatarsalgia bar"
041045 - reported on 140627 1223. ref SDS 1 2F3M
041047 - ..
041048 - While we talked found research at...
041049 -
041050 - https://www.google.ca/search?as_q=metatarsal+bar&as_epq=&as_oq=&as_eq=&as_nlo=&as_nhi=&lr=&cr=&as_qdr=all&as_sitesearch=&as_occt=any&safe=images&as_filetype=&as_rights=
041052 - ..
041053 - Looking at the picture, it appears that Doctor Tang and Doctor
041054 - Hewitson have from time-to-time added this kind of support to the
041055 - orthotic inserts.
041057 - ..
041058 - The doctor seemed to say, likely don't need this right away. After
041059 - Half Dome take to investiage and find something that is comfortable.
041061 - ..
041062 - Thanked Doctor for great care and generosity expanding the scope of
041063 - work yesterday.
041064 -
041065 -
041067 - ..
0411 -
0412 -
0413 - 2212
0414 -
041401 - Submitted letter to Doctor Tucker saying...
041402 -
041403 - 1. Subject: PRP Plantar Plate Tear, Metatarsalgia, Osteoarthritis Left Knee - THANK YOU
041404 - Date: 2017-07-27 22:35
041409 - ..
041410 - 2. Dear Doctor Tucker,
041412 - ..
041413 - 3. Thanks for your call this evening. I reported no pain from PRP
041414 - procedure yesterday. There is slight feeling of swelling at
041415 - the time of your call. Expect this will subside in a day or
041416 - so??
041418 - ..
041419 - References telecon when Doctor Tucker called earlier today, reported
041420 - above. ref SDS 0 0W5I
041422 - ..
041423 - Letter to Doctor Tucker continues...
041424 -
041425 - 4. Very pleased you seemed to say that initial walking of a mile
041426 - around the block at slow pace contributes to healing
041427 - (regeneration) process.
041429 - ..
041430 - References Doctor Tucker saying to hike low mileage and go slow to aid
041431 - healing from injection therapy, per above. ref SDS 0 0W6V
041433 - ..
041434 - Letter to Doctor Tucker continues...
041435 -
041436 - 5. Is swelling the metric - do we need to wait for it to subside,
041437 - or does mild hiking aid recovery?
041439 - ..
041440 - 6. Will try Lafayette reservoir on Saturday, just walking on the
041441 - flat part of the route. If that goes well, might go up and
041442 - down a hill or 2 (these are very mellow). Next week will try
041443 - for complete 3 mile loop, working toward local hike of 7 miles
041444 - maybe by end of next week, depending on your comments.
041446 - ..
041447 - 7. Need your progress notes to complete the record. You seemed to
041448 - say they would be complete end of today. As well, your
041449 - comments (any errors and omissions) on the record are helpful
041450 - (be warned photographs don't render well in HTML). ref SDS 4
041451 - 0001
041453 - ..
041454 - References meeting with the doctor after the procedure on 170726 1600.
041455 - ref SDS 4 YW5G
041457 - ..
041458 - Letter to Doctor Tucker continues...
041459 -
041460 - 8. Wrote a summary as you requested.
041462 - ..
041463 - 9. Naturally, I'm very hopeful we have a solution. Will hold off
041464 - notifying VA folks for a few weeks, to see if I can do the
041465 - hiking which conventional care could not restore. That will be
041466 - a big deal.
041468 - ..
041469 - 10. Glad we had a chance to work together. You were terrific. If
041470 - our paths never cross again, just want to say, keep up the good
041471 - work.
041473 - ..
041474 - References the record of PRP injection therapy performed by Doctor
041475 - Tucker on 170726 1600. ref SDS 4 0001
041476 -
041482 -
041483 -
041485 - ..
0415 -
0416 -
0417 - 2334
0418 -
041801 - Sent another letter to Doctor Tucker saying...
041802 -
041803 - 1. Subject: Icing and Diclofenac gel Reduce Inflammation
041804 - Date: 2017-07-27 23:39
041809 - ..
041810 - 2. Dear Doctor Tucker,
041812 - ..
041813 - 3. For past number of years have been icing feet before and after
041814 - hiking to control inflammation. Similarly, have been applying
041815 - Diclofenac gel supplied by the VA, an hour before going out.
041816 - Should I do this tomorrow, or should inflammation be maintained
041817 - to foster healing?
041819 - ..
041820 - This follows up discussions with Robin on 170720 1148, ref SDS 2 US8L,
041821 - and the letter submitted with draft language asking about when to ice,
041822 - reported on 170720 1148. ref SDS 2 P93K
041824 - ..
041825 - This letter further follows up injection therapy with PRP performed by
041826 - Doctor Tucker on 170726 1600, ref SDS 4 0001, and the call from the
041827 - doctor earlier today, prescribing low level hiking, per above.
041828 - ref SDS 0 0W6V
041829 -
041836 -
041837 -
041838 -
041839 -
041840 -
041841 -
041842 -
041843 -
041844 -
041845 -
041846 -
0419 -