CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 24 0000. ref SDS 23 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Submitted letter to Doctor Rolnik saying...
040902 -
040903 - 1. Subject: PRP Feet and Left Knee
040904 - Date: 2021-07-06, 00:01
040921 - ..
040922 - 2. Dear Doctor Rolnik,
040924 - ..
040925 - 3. Really great work today. You were professional and thorough in
040926 - the face of extreme emotional response to painful injections.
040927 - Not sure how we both got through it. You could have just ended
040928 - the procedure, but pushed ahead. I'm very grateful. Because
040929 - of your strength of character, we can test the theory on
040930 - raising HDL with hiking extended distance, and using PRP to
040931 - avoid inflammation.
040933 - ..
040934 - References letter to Doctor Rolnik on 210701 1747, ref SDS 22 ER5N,
040935 - and previously letter to Doctor Grunfeld on 210607 1649. ref SDS 19
040936 - 0B74
040938 - ..
040939 - Inflammation causing pain and so relieved with PRP treatment to reduce
040940 - inflammation was originally proposed by Doctor Thuillier on 200221
040941 - 0800. ref SDS 15 WY8H
040942 -
040943 -
040944 - [On 210708 1056 Doctor Rolnik called saying she was pleased
040945 - to get positive feedback on PRP procedure today.
040946 - ref SDS 27 4G4N
040948 - ..
040949 - Letter to Doctor Rolnik continues...
040950 -
040951 - 4. Future procedures will have to investigate conscious sedation
040952 - with versed and fentanyl, similar to EGD procedures. Ideally,
040953 - the medical team will consider using the OR with support staff,
040954 - and hire you to do the procedure.
040956 - ..
040957 - 5. The change between today, and prior PRP/hiking that raised HDL
040958 - is that pain is now occurring on edges of little and big toes.
040959 - These locations are less susceptible to getting enough PRP for
040960 - resisting inflammation long enough for hiking to raise HDL.
040961 - Expect they will heal okay, but not very long. Anyway, we will
040962 - find out. Might wind up asking Hoka about making a set of
040963 - shoes with longer width across the toe line to reduce pressure.
040964 - As well, the VA may decide to try cutting back the bone growth
040965 - that drives these new pain/inflammation locations.
040966 -
040967 - [On 210706 0900 meeting with Doctor Tang in Podiatry at
040968 - VAMCSF - he feels surgical excision of tissue and/or bone
040969 - growth is not feasible, and recommended contacting Mark
040970 - Wachter at On-The-Run about trying shoes with wider toe
040971 - line to reduce pressure on little and big toe edges.
040972 - ref SDS 25 U241
040974 - ..
040975 - [On 210707 0952 letter to Mark Wachter at On-The-Run asks
040976 - about getting wider shoes. ref SDS 26 HE33
040978 - ..
040979 - [On 210709 1200 tried Hoka Bondi 7 extra wide shoes at
040980 - On-The-Run, and felt less pressure on edges of feet,
040981 - ref SDS 28 KW4G; so bought 1 pair to experiment with
040982 - modified orthotic inserts and doing regular 20+ mile hikes.
040983 - ref SDS 28 ZO8O
040985 - ..
040986 - 6. In the meantime, please include in Progress Notes the
040987 - manufacturer and model of the centrifuge, and amount of PRP and
040988 - concentration, as you explained during the meeting.
040990 - ..
040991 - 7. You might like to review Doctor Tucker's progress notes for PRP
040992 - on 190816, setting out history of left knee injury - see
040993 - attached, and at, 190816 1100, ref SDS 8 YO7K
040995 - ..
040996 - 8. Notice the last sentence says "He tolerated the procedure
040997 - well." Actually, had difficulty with Tailor's Bunions, as
040998 - today. Adding 4 even more painful injections was nearly
040999 - overwhelming.
041001 - ..
041002 - 9. Good news!! Noticed this evening was less dizzy/loopy when
041003 - standing up from laying back in a recliner chair. This
041004 - indicates some recovery from recently recurrent BPPV, as a
041005 - result of extreme reaction to painful injections today. Doctor
041006 - Wiseman will be pleased when she works this issue tomorrow
041007 - morning at the VA.
041009 - ..
041010 - 10. Again, great work today.
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