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 1, 2020 09:30 AM Tuesday;
Rod Welch
VA Podiatry Doctor Tang examin blood blister little toes and treat calluses.
1...Summary/Objective
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CONTACTS
SUBJECTS
VA EGD Procedure Stricture Lower Esophageal Sphincter Valve LESV 10
2503 -
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2504 - Summary/Objective
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250501 - Follow up ref SDS 20 0000. ref SDS 19 0000.
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2508 - Progress
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250901 - On 201028 084602 after hiking through the Park this morning, blood
250902 - blister on ring toe left foot still hurt, despite cushion dressing
250903 - applied this morning. Stopped at Podiatry. ref SDS 19 4G4N Anna made
250904 - examination. She provided another type of dressing, and scheduled
250905 - meeting with Doctor Tang today, for evaluating blood blister.
250906 - ref SDS 19 RS58
250908 - ..
250909 - On 201102 113002 Doctor Tang and Brittany treated calluses and blood
250910 - blisters. ref SDS 20 A45G
250912 - ..
250913 - On 201123 0825 letter to Doctor Tang reports new blood blisters on
250914 - little toes. ref SDS 21 IV6J
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250917 - ..
250918 - Today, worked with Jaydean. She is a 4th year medical student at a
250919 - school in New York. She getting on the job training working with
250920 - Doctor Tang.
250922 - ..
250923 - Agenda...
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250925 - 1. Blood blister little toe right foot.
250927 - ..
250928 - Jaydean debrided this to remove underlying wound. This was fairly
250929 - easy, because using hydrofera blue the past few days, has
250930 - significantly closed the wound.
250932 - ..
250933 - Doctor Tang provided a tube cutout for protecting little toes. He
250934 - also provided dressing, and demonsted how to apply to little toes to
250935 - prevent compounding injuries while hiking.
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250938 - 2. Tailor's Bunions both feet
250940 - ..
250941 - Jaydean shaved both.
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250943 -
250944 - 3. Calluses big toes both feet
250946 - ..
250947 - Jaydean shaved both.
250949 - ..
250950 - On 201126 1037 received in the mailbox package containing a tube of
250951 - Urea 20. ref SDS 22 4G4N
250953 - ..
250954 - Doctor Tang explained Urea 20 complements ammonium lactate 12%. He
250955 - said to first apply ammonium lactte over entire foot and toes. Then
250956 - apply Urea 20 to areas of calluses. It will loosen the skin for
250957 - easier removal.
250959 - ..
250960 - Doctor Tang also ordered prescription for new line of care with
250961 - Miconazole Nitrate 2%. He explained it is applied topically and
250962 - inside socks to keep feet dry during long hikes. This will reduce
250963 - pressues that cause blisters and calluses.
250964 -
250965 - [On 201207 1549 received from VA Pharmacy prescription for
250966 - Miconazole Nitrate 2% foot powder, with 6 refills.
250967 - ref SDS 25 4G4N
250969 - ..
250970 - [On 200101 0702 applied prior to hike and seemed effective.
250971 - ref SDS 13 RWYY
250973 - ..
250974 - The doctor changed the schedule setup on 201102 1130. ref SDS 20 3A39
250975 - He explained the hospital has changed policy to further reduce patient
250976 - visits to the hospital during current surge of coronavirus cases. The
250977 - meeting scheduled on January 5th was moved to 210129 0930.
250979 - ..
250980 - The doctor said to keep him posted with email on progress of podiatry
250981 - problems.
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