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: December 9, 2019 02:28 PM Monday; Rod Welch

Ice pack Kathy purchased from CVS reduce swelling left knee after hikes.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Ice Pack Hot Cold Compress Implement RICE Rest Ice Compression Eleva                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0603 -    ..
0604 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
060501 - Follow up ref SDS 1 GW7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
060502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060507 -  ..
0606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0608 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
060901 - Both knees are afflicted with osteroarthritis (OA), i.e. cartilage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
060902 - injured in the meniscus joints.  This causes swelling after hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
060903 - reported in case study on 190101 0730 reporting daily diet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
060904 - medication, hiking and vitals, e.g. today on 191209. , ref SDS 2 YRPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
060906 -  ..
060907 - Common orthopedic protocal for treating OA is "RICE" ---                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
060908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060909 -        rest, ice, compression, elevation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
060911 -  ..
060912 - RICE is presented in the record on 160412 1227. ref SDS 1 GW7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060914 -  ..
060915 - Have not used this protocol previously, because the technology has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
060916 - been weak.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
060918 -  ..
060919 - While I was hiking, Kathy went to CVS and purchased...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
060920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060921 -        CVS Health                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
060922 -        Hot & Cold                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
060923 -        Pain relieving compress  --  contour gel technology                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
060924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
060927 -  ..
060928 - The contour gel is provided enchased in a plastic container that can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060929 - be placed in the refrigerator freezer to make it cold, or placed in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
060930 - microwave to make it hot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
060932 -  ..
060933 - The contour gel package is then placed inside a sleeve that is wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
060934 - around the knee.  It is held in place with a velcro strap that is easy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
060935 - to apply and remove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060937 -  ..
060938 - This holds the wrap in place while walking or sitting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
060939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060940 -        CVS Pharmacy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
060941 -        4424 Treat Boulevard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
060942 -        Concord, CA 94521                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
060943 -        925 676 4040                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
060945 -         ..
060946 -        Invoice............................... 4570                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
060948 -         ..
060949 -        Date.................................. 191209 0235P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
060951 -         ..
060952 -        CVS H/C PR Compress................... $16.49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060954 -         ..
060955 -        Subtotal.............................. $16.49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060956 -        CA 8.75% sales tax....................   1.44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060957 -        Total................................. $17.93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060959 -  ..
060960 - Kathy paid for this.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
060962 -  ..
060963 - Instructions for using the ice pack are shown at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
060964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
060965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
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060975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0610 -