THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: June 4, 2019 02:15 PM Tuesday; Rod Welch

VA Veterans Choice Program called ordered orthopedic care with Doctor Tucker ordered bctor Edwards.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 96 0000. ref SDS 95 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040508 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Background                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - On 170726 1600 1st PRP treatment - Doctor Tucker performed injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040902 - to treat plantar plate tear right foot, ref SDS 10 HE4N; she also made                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040903 - PRP injections treating metatarsalgia in both feet. ref SDS 10 EG7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040904 - PRP was injected into the left knee, ref SDS 10 4Y8K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040906 -  ..
040907 - On 170816 1400 2nd PRP injection treatment regeneration therapy;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040908 - Doctor Tucker used pain management protocol similar to 1st phase, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040909 - no pain was experience, but on this 2nd phase there was considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040910 - pain, because injections were deeper and more PRP was injected to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040911 - achieve benefits of regenerating (healing) plantar plate tear, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040912 - were not achieved with 1st phase of treatment. ref SDS 12 S543  PRP was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040913 - injected into arch to repair Halux Valgus right foot. ref SDS 12 IM7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040915 -  ..
040916 - On 170817 0836 at 1207 letter from Doctor Tucker says hallux valgus is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040917 - symptom of weakening arch; injecting PRP to ligaments of the 1st mtp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040918 - (big toe) in association with treating the arch, we are hoping to help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040919 - heal that and more importantly, keep it from worsening. ref SDS 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040920 - 9F5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040922 -  ..
040923 - On 171229 0745 MRI right knee regenerate cartelage compare left knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040924 - ref SDS 26 K05I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040926 -  ..
040927 - On 171229 0900 MRI both feet evaluate PRP treatments. 171229 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040928 - ref SDS 27 HQ5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040930 -  ..
040931 - On 180105 1630 3rd PRP treatment - Doctor Tucker performed PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040932 - injections, ref SDS 31 0001, for knees and feet including Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040933 - Bunions. ref SDS 31 VO3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040935 -  ..
040936 - On 180108 letter to Doctor Thuillier reported PRP treatment in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040937 - feet and both knees on 180105 1630, ref SDS 31 HP5O, and related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040938 - research indicating PRP yields measurable increase in minisucs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040939 - cartilage over 6 months. ref SDS 31 JX67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040941 -  ..
040942 - On 180110 1100 meeting Doctor Thuillier review MRI scans both feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040943 - both knees on 171229. ref SDS 33 JN9H  The doctor cited finding in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040944 - report from MRI on 171229, that cartilage has not further reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040945 - since prior study on 170412, reported on 160805. ref SDS 26 M75N  He                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040946 - feels this is significant that continuing patient hiking 11 miles per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040947 - day has not further degraded miniscus cartilage in both knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040949 -  ..
040950 - On 180425 1145 meeting Doctor Thuillier review progress recover feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040951 - and knee injuries using PRP injection treatments, ref SDS 36 V54H, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040952 - order additional care. ref SDS 36 4J6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040954 -  ..
040955 - On 180516 1015 meeting Doctor Thuillier got name of "smartwool" socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040956 - ref SDS 41 GW5N  The doctor suggested trying Doctor Scholl's Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040957 - Removers using Salicylic Acid to recover from Tailor's Bunion on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040958 - side of left foot, and from calluses on both big toes. ref SDS 41 GW7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040959 - Doctor Thuillier indicated PRP treatments have been strong remedies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040960 - for metatrsalgia, plantar plate tear, hallux valgus, and Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040961 - Bunion.  He is investigating how VA can pay for the treatments.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040962 - ref SDS 41 GG6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040964 -  ..
040965 - On 180620 1530 4th PRP treatment to both feet and both knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040966 - ref SDS 45 VO3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040968 -  ..
040969 - On 180725 1145 meeting Doctor Thuillier about acetaminophen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040970 - prescribed dose of 1000 mg per day taken over extended days, weeks and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040971 - months could accumulate into an "intoxination" condition that causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040972 - liver damage and lowers HDL some 33%, ref SDS 48 155F, as reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040973 - the study reviewed on 180724 1645. ref SDS 47 EN4L  Further considered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040974 - how long recovery might take to restore liver function after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040975 - acetaminophen, particularly restoring elevated HDL levels? ref SDS 48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040976 - SV6H  Dan said he has hiked Half Dome 4 times. ref SDS 48 G56K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040978 -  ..
040979 - On 180824 1515 5th PRP treatment - meeting Doctor Tucker injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040980 - treatment to protect feet and knees, enable training Half Dome.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040981 - ref SDS 50 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040983 -  ..
040984 - On 180912 0545 hiked Half Dome in Yosemite Valley, total 28 miles that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040985 - day. ref SDS 51 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
040987 -  ..
040988 - On 181024 0752 sent letter to Doctor Thuillier, ref SDS 52 FC8M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040989 - asking him to order Supartz injections for knees, hope to extend PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040990 - effectivenss to 6 months. ref SDS 52 OC44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040992 -  ..
040993 - On 181025 0735 received letter from Doctor Thuillier advising that he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040994 - ordered Supartz for knees, which will be combined with PRP.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040995 - ref SDS 53 ZY9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040997 -  ..
040998 - On 181025 0735 at 0801 letter to Jane in Orthopedics Administration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040999 - asking about coordinating schedule for Supartz injections. ref SDS 53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041000 - 7H7S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041002 -  ..
041003 - On 181126 1130 1st of 3 Supartz injections - meeting with Gina at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041004 - Clinic in Santa Rosa performed 1st injection Supartz in both knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041005 - ref SDS 56 BK6H  Gina is strong proponent for PRP at VA; she is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041006 - talking to Doctor Thuiller and Doctor Sara Edwards in Orthopedics at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041007 - VAMCSF, and hopes to get assignment for doing PRP injections.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041008 - ref SDS 56 375L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041010 -  ..
041011 - On 181126 1127 meeting Doctor Gloria Tucker - received article on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041012 - favorable results combinging PRP with Supartz injections; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041013 - scheduled next PRP treatment 2 days after last Supartz, which be done                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041014 - on 181212. ref SDS 57 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041016 -  ..
041017 - On 181126 1547 at 1952 letter to Gina at VA Clinic in Santa Rosa, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041018 - copy to Doctor Thuillier in Orthopedics at VAMCSF, and copy to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041019 - Tucker, and submitting to Gina and Doctor Thuiller article on study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041020 - combinging Supartz with PRP. ref SDS 56 VE46  Further report improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041021 - hiking during 2018, with PRP treatments in feet and knees, reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041022 - 3,000 miles and HDL 83, an increase of nearly 300% after CABG x4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041023 - surgery 9 years ago. ref SDS 56 VE73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041025 -  ..
041026 - On 181126 1547 receive results of Telomere test, ref SDS 58 ZD7J,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041027 - seeming to indicate have telomere length for average 77 year old,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041028 - reported in the record for the day of the blood draw on 181115 1037.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041029 - ref SDS 55 AY46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041031 -  ..
041032 - On 181203 1030 2nd of 3 Supartz injections - meeting with Gina at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041033 - Clinic in Santa Rosa performed 2nd injection Supartz in both knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041034 - ref SDS 60 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041036 -  ..
041037 - On 181205 1045 meeting with Doctor Dan Thuillier at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041038 - telomeres, ref SDS 61 V54H; collaborating with Doctor Sara Edwards on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041039 - adding PRP treatments at the VA. ref SDS 61 FN8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041041 -  ..
041042 - On 181210 1030 3rd of 3 Supartz injections - meeting with Gina at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041043 - Clinic in Santa Rosa; Gina made final injection of Supartz into both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041044 - knees to complete 3 injection series. ref SDS 62 CJ98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041046 -  ..
041047 - On 181212 1600 6th PRP injection treatment - meeting Doctor Tucker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041048 - injected PRP into both feet and both knees. ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041050 -  ..
041051 - On 190327 0915 meeting at VAMCSF Doctor Sara Edwards offered to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041052 - perform PRP injection treatment for both knees and right elbow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041053 - ref SDS 71 YM90  Expect work to be performed in about 4 weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041054 - ref SDS 71 T13O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041056 -  ..
041057 - On 190329 0905 letter to Jane asks for earlier date for PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041058 - if there is a cancellation. ref SDS 76 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041060 -  ..
041061 - On 190329 0905 at 1127 letter from Jane saying she forwarded the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041062 - letter to Lance, who schedules PRP procedures. ref SDS 76 VN3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041064 -  ..
041065 - On 190403 1000 Doctor Tucker has not received documentation of an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041066 - order for PRP care, nor establishing payment process, so paid for 7th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041067 - PRP set of injections, by cash. ref SDS 77 V66K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041069 -  ..
041070 - On 190411 130912 VA Orthopedics visit Lance to schedule PRP ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041071 - Doctor Edwards on 190327. ref SDS 78 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041073 -  ..
041074 - On 190418 150449 VA Orthopedics letter to Lance requesting time and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041075 - location for PRP on 190425. ref SDS 79 V54H  Received response from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
041076 - Lance saying ASU will call on 190424 OA 1400 to advise instructions on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041077 - reporting for PRP treatment the next day. ref SDS 79 3A6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041079 -  ..
041080 - On 190423 0931 received call from Rachael in VAMCSF Orthopedics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041081 - scheduling post-procedure review of PRP on 190425, with Doctor Edwards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041082 - on 190522 0900. 190423 0931, ref SDS 81 JL4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041084 -  ..
041085 - On 190424 1515 Lance called with VAMCSF Orthopedics, and said PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041086 - scheduled tomorrow on 190425, was cancelled in a staff meeting the day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041087 - before on 190423, by Chiefs of Orthopedics and Surgery, ref SDS 82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041088 - V54H, who were unfamiliar with "science" of PRP, and were unfamiliar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041089 - with patient strong response to treatment with PRP the past 2 years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041090 - ref SDS 82 E647                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041092 -  ..
041093 - On 190424 1515 at 1531 called Jane - she scheduled meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041094 - Edwards on 190517 0845. ref SDS 82 E66G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041096 -  ..
041097 - On 190425 0844 letter to Doctor Edwards confirms understanding that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041098 - PRP treatment she schedule for today, was cancelled. ref SDS 83 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041099 - Radiology history with MRI studies show significant injuries to feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041100 - and knees, which responded well to treatment with PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041101 - therapy. ref SDS 83 NQ6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041103 -  ..
041104 - On 190513 1017 letter to Doctor Tucker on scope PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041105 - scheduled for 190517. 190513 1017, ref SDS 86 6N6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041107 -  ..
041108 - On 190514 1043 received call from Joseph in Orthopedics at VAMCSF - he                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041109 - changed schedule for meeting Doctor Edwards from 190515, to 190529                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041110 - 0900. ref SDS 87 JL4J  Later Jane called and after discussion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041111 - confirmed meeting with Doctor Edwards on 190529 0900; she said it was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041112 - a doublebook, so there may be some wait. ref SDS 87 NY6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041114 -  ..
041115 - On 190515 1400 Doctor Tucker provided 8th PRP treatment for left feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041116 - left knee, left shoulder. ref SDS 89 LO4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041118 -  ..
041119 - On 190517 0845 meeting Doctor Thuillier discussed referral to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041120 - Tucker through Veterans Choice for PRP treatment injured right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
041121 - trapezius. ref SDS 91 SV8H  Doctor will issue request for Patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041122 - Choice to order PRP treament for knee. ref SDS 91 O45N  Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041123 - Thuillier will coordinate with Doctor Edwards on having Patient Choice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041124 - issue order for Doctor Tucker to perform PRP on feet, since Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041125 - Tang in Podietry referred feet care to Doctor Thuillier. ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
041126 - CH7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041128 -  ..
041129 - On 190524 1048 letter to Doctor Tucker transmit letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041130 - Thuillier on requirement for VA to order PRP treatment based on record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041131 - of favorable outcome reported by Doctor Simpson. ref SDS 94 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041133 -  ..
041134 - On 190529 1040 met with Doctor Sara Edwards in Module 2, VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041135 - ref SDS 95 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041137 -  ..
041138 - On 190529 1130 meeting Veterans Choice Department called and was told                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041139 - should hear from Veterans Choice on Friday, 190531, or following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041140 - Monday on 190603, and if not call the office to follow up. ref SDS 96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041141 - V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041147 -  ..
0412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0414 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041501 - Called...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
041502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041503 -        Choice Program................ phone 1 855 722 2838                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041505 -  ..
041506 - Talked to Ashely.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041508 -  ..
041509 - She sounds like the lady who said to call back, during the call last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041510 - week on 190529 1130. ref SDS 96 1T4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
041512 -  ..
041513 - Ashley found my records.  They have the correct address.  She said I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041514 - was enrolled in Veterans Choice on 151116, but became inactive 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041515 - months ago on 180104.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041517 -  ..
041518 - She said there is no record of the order Doctor Edwards entered during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041519 - the meeting at VAMCSF on 190529 1040. ref SDS 95 IH5S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041521 -  ..
041522 - Ashley said the VA has to enroll me in Veterans Choice.  After I am                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041523 - enrolled, then Doctor Edwards and others can make referrals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
041525 -  ..
041526 - Need to visit with Kathy on getting signed up for Veterans Choice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041527 - following up meeting on 190503 1028. ref SDS 84 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
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0416 -