CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 19 0000. ref SDS 18 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Previously, visited Jane again in Orthopedics on 2nd floor building
040902 - 203, following up meeting on Tuesday, 171219 0838, ref SDS 18 O46F,
040904 - ..
040905 - At that time, Jane scheduled meeting with Doctor Thuillier in
040906 - Orthopedics on...
040907 -
040908 - 171227 0915
040910 - ..
040911 - Review with Doctor Thuillier follows up examination by Doctor Nicole
040912 - Reardon today in Podiatry, reported in another record on 171221 1121.
040913 - ref SDS 20 5N5J
040915 - ..
040916 - Work Plan Resolve Blister Big Toe Left Foot
040917 -
040918 - Hallux Valgus influences larger blister on big toe left foot.
040920 - ..
040921 - Since right foot bunion treated with PRP on 170816 1400,
040922 - ref SDS 5 YY55, seems much better than left foot, i.e., no
040923 - blisters on ring toe and little toe, and minor blister on big
040924 - toe, will consider injecting left foot hallux valgus, also
040925 - afflicted with blisters on ring toe and little toe.
040927 - ..
040928 - Replace Worn Out Hoka Bondi shoes.
040930 - ..
040931 - Doctor Thuillier examined severe blister on edge of left foot big toe.
040932 - He commented that Doctor Reardon may be correct that the more severe
040933 - condition on the left big toe relative to the better conditon on the
040934 - right foot big toe, reported last week on 171221 1121. ref SDS 20 OP5N
040935 - may reflect benefits of PRP injections to treat hallux valgus on left
040936 - foot performed by Doctor Tucker on 170816 1400. ref SDS 5 YY55 This
040937 - seems to align with Doctor Tucker's explanation in her letter the next
040938 - day on 170817 0836. ref SDS 6 9F5H
040940 - ..
040941 - Doctor Thuillier explained blistering on left foot reflects the big
040942 - toe twisting in the shoe, because of hallux valgus. Blisters on ring
040943 - toe and little toe on left foot correlate to hallux valgus as well.
040944 - He said this could be fixed with surgery, but it is not a good
040945 - solution in this case, because complications could impede hiking and
040946 - other athletics required to maintain cardiology care, i.e., raising
040947 - HDL and EPC's that regress plaque in the circulatory system. Since
040948 - these problems are less pronounced on the right foot, where hallux
040949 - valgus was treated with PRP injections on 170816 1400, ref SDS 5 YY55,
040950 - this line of care should be tried first on the left foot.
040952 - ..
040953 - The doctor suggested placing felt or lambs wool to maintain distance
040954 - between toes, rather than be squeezed together during long hikes.
040955 - This may help prevent further blistering, particularly on the left
040956 - foot big toe and the ring toe and little toe.
040957 -
040958 - [On 171230 1014 purchased felt cloth from Beverley's Fabric
040959 - store, cut and folded cloth into strips. Wrapped this
040960 - between big toe, long toe and middle toe. ref SDS 25 3B3H
040962 - ..
040963 - [On 160101 0700 case study reporting on 171230, treated
040964 - hallux valgus to protect feet during hikes - seemed
040965 - effective. ref SDS 1 8X6L
040967 - ..
040968 - [On 180222 1548 felt cloth padding between toes has worked
040969 - well for hiking, so bought another .5 yard of same
040970 - material. ref SDS 26 2S9J
040972 - ..
040973 - There was discussion that resolving Hoka manufacturing error on Bondi
040974 - 5 wide shoes is also critical, reported in the record on 171226 1018.
040975 - ref SDS 22 OU33 The doctor commented favorably on Hoka shoes. Of
040976 - course manufacturing errors are frustrating for vendors and customers.
040978 - ..
040979 - We reviewed the doctor's request to be kept informed on results
040980 - getting treatment with PRP injections in the afternoon on 170726 1600.
040981 - ref SDS 3 0001, set out in his letter submitted earlier in the morning
040982 - before getting PRP treatments, reported on 170726 0947. ref SDS 2 KD8H
040984 - ..
040985 - Doctor Thuillier ordered MRI studies of both feet and both knees to
040986 - evaluate results of PRP injection treatments - first on 170726 1600,
040987 - ref SDS 3 0001, and another treatment performed on 170816 1400.
040988 - ref SDS 5 0001
040990 - ..
040991 - This further implements planning in a letter to medical team on 171103
040992 - 1141, ref SDS 12 S279, and a month later in a letter to Doctor Tucker
040993 - on 171212 1657. ref SDS 17 RY3P
040994 -
040995 - [On 171229 0615 went Radiology; Jonus did MRI on both knees
040996 - to evaluate recovery osteoarthritis. ref SDS 23 FZ5L
040998 - ..
040999 - [On 171229 0900 went back to Radiology; Jonus did MRI
041000 - studies on both feet. ref SDS 24 GB5G
041002 - ..
041003 - Today, on ending the meeting the doctor said he had difficulty opening
041004 - the link to his letter on 170726, as presented in the letter last week
041005 - on 171222, submitting the agenda for meeting today. 171222 1453,
041006 - ref SDS 21 O46F Think he indicated that to prepare for the meeting
041007 - today, he found his letter on 170726, in his Sent mail folder.
041009 - ..
041010 - Doctor Thuillier has closely followed PRP treatment...
041011 -
041012 - Metatarsalgia in both feet and left knee
041013 - osteoarthritis have responded beyond
041014 - expectations with pain level 0, as distance
041015 - has gradually increased from 1 mile to 3,
041016 - 4, 7 and recently to 11 miles per day.
041017 - Seems like a miracle. Increased hiking has
041018 - lowered weight and blood pressure dramatically,
041019 - as shown in case study previously submitted.
041020 - Doubtless HDL has risen above 60 again, with
041021 - this level of effort, reported in
041022 - letter on.......................................... 170807 0752, ref SDS 4 PM82
041024 - ..
041025 - Plantar plate and the long toe are more
041026 - challenging. On recent hikes there is
041027 - pain level 2 sometimes starting, then
041028 - in .5 miles pain subsides to 0. Few
041029 - miles later there is pain level 1, then
041030 - 0, then 3, then backs off to 1, that
041031 - type of thing. Oddly, the long toe
041032 - hurts, as if broken, cracked
041033 - or something, reported in
041034 - letter on.......................................... 170807 0752, ref SDS 4 PM85
041036 - ..
041037 - World class atheletes report PRP injection
041038 - treatments turned back the clock extending
041039 - careers, e.g., Rafael Nadal in tennis; would
041040 - be phenomenal if I can return to doing 11 -
041041 - 15 mile dailies.................................... 170910 1832, ref SDS 8 AY45
041043 - ..
041044 - Have done 11 and 15 mile hikes showing
041045 - increasing effects PRP treatments, and
041046 - switching to Hoka Bondi 5 shoes width
041047 - 2E (wide), with orthotic inserts modified
041048 - for relief plantar plate injury,
041049 - reported in letter on.............................. 171016 1626, ref SDS 11 V58U
041051 - ..
041052 - On 171102 hiked 12 miles through Golden
041053 - Gate park and back to VA, and with speed,
041054 - racing other hikers on JFK drive. Even
041055 - ran for several miles. One of best hikes
041056 - ever for sustained speed and handling
041057 - hills. Moreover, had best hiking month
041058 - in a year, doing 260 miles or so. Past 4
041059 - weeks have not used any pain medication,
041060 - reported in letter on.............................. 171103 1141, ref SDS 12 S273
041062 - ..
041063 - Recovery from plantar plate and metatarsalgia
041064 - correlates with PRP injections by Doctor
041065 - Tucker on 170726, and again on 170816. A few
041066 - weeks ago noticed thickened pad on balls of
041067 - feet. Assume this is growth of new material
041068 - protecting metatarsals, or something like
041069 - that. Seems quite pronounced. Should
041070 - follow up MRI be performed to compare with
041071 - prior study on 170412, that found severe
041072 - feet injuries, reported in letter
041073 - on................................................. 171103 1141, ref SDS 12 S279
041075 - ..
041076 - Today, Doctor Thuillier ordered follow up MRI to assess regeneration
041077 - of cartilage in both knees and both feet, per above. ref SDS 0 E54H
041078 -
041080 - ..
041081 - Switching to Hoka Bondi shoes with stronger
041082 - structure, and wider (2E) forefoot, but
041083 - with improved rebound energy, has protected
041084 - against injury from distance hiking, as
041085 - recommended by Doctor Tang on 170829,
041086 - and later provided by On-the-Run in the
041087 - meeting on 170929. The innovative orthotic
041088 - insert with relief that reduces pressure
041089 - on the right foot plantar plate,
041090 - contributed to healing and prevention
041091 - of recurrence, reported in
041092 - letter on.......................................... 171103 1141, ref SDS 12 S283
041094 - ..
041095 - Knees are doing beautifully, and without
041096 - Glucosamine Chondroitin used the past 10
041097 - years. Occasionally, during hikes feel
041098 - momentary twinges in left knee treated
041099 - with PRP on 170726, and more frequently
041100 - feel things in right knee treated with
041101 - Supartz on 170731, but this is really
041102 - inconsequential. Thus, both knees with
041103 - severe deficits noted in MRI studies on
041104 - 160805, have responded well to treatment.
041105 - Should follow up MRI be performed to
041106 - compare for recovery from prior findings?
041107 - Something must have changed in the left
041108 - knee, as seemingly has occurred on the
041109 - feet, reported in letter on........................ 171103 1141, ref SDS 12 S293
041110 -
041111 -
041112 -
041114 - ..
0412 -
0413 -
0414 - 0941
0415 -
041501 - After meeting with Doctor Thuillier, went to Radiology Department on
041502 - 2nd floor building 200. Met with Caroline in MRI scheduling.
041504 - ..
041505 - She was working with another customer to schedule a radiology study.
041506 -
041508 - ..
0416 -
0417 -
0418 - 0952
0419 -
041901 - Caroline scheduled MRI radiology studies...
041902 -
041903 - 171229 0800 MRI both knees
041904 - 171229 1500 MRI both feet
041906 - ..
041907 - Caroline said MRI on feet will take about 2 hours, which will be
041908 - longer than studies on the knees.
041910 - ..
041911 - She said to arrive at 0745 to check in at Radiolody for the study at
041912 - 0800.
041914 - ..
041915 - Caroline said the radiology staff may ask to do the study at 1500
041916 - earlier.
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0420 -