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
Default Null Subject Account for Blank Record
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
041528 -
041529 -
041530 -
041531 -
041532 -
041533 -
041534 -
041535 -
041536 -
041537 -
041538 -
0416 -