CONTACTS
SUBJECTS
VA EGD Procedure Stricture Lower Esophageal Sphincter Valve LESV 10
2503 -
2503 - ..
2504 - Summary/Objective
2505 -
250501 - Follow up ref SDS 38 0000. ref SDS 36 0000.
250502 -
250503 -
250504 -
250505 -
250506 -
250507 -
250509 - ..
2506 -
2507 -
2508 - Background
2509 -
250901 - On 210706 090003 met with Doctor Tang to treat blisters and calluses
250902 - on both feet. ref SDS 32 4Y6G After treatment, the doctor ordered
250903 - another meeting next month, reported on 210601 0900. ref SDS 32 TM5L
250905 - ..
250906 - On 210707 0940 called VAMCSF Module 3, and scheduled next meeting in
250907 - Podiatry on 210805 0900. ref SDS 34 IK5J
250909 - ..
250910 - On 210805 0800 met Doctor Tang and scheduled next treatment on 210907
250911 - 0830.
250913 - ..
250914 - On 210831 1403 Natalie called and said Doctor Tang is out sick. She
250915 - scheduled the meeting to 210924 0830.
250916 -
250918 - ..
2510 -
2511 -
2512 - Progress
2513 -
251301 - Meeting today, follows up prior meeting with Doctor Tang on 210924
251302 - 0830. ref SDS 38 L83K Drove to VA Medical Center in San Francisco.
251303 - Drive was delayed by heavy rain. Backup at through Toll Booth and
251304 - across the Bay Bridge and across town to the hospital was very slow.
251305 - Arrived barely in time for 0830 meeting. Walked from parking garage
251306 - across campus. Went through Coronaviurs screening procedure. Checked
251307 - in at Module #3. Went to Pharmacy to ask about pending deliveries of
251308 - medication refills. Then walked to Podiatry Department.
251310 - ..
251311 - Doctor Tang examined the feet. He noted injuries on both little toes
251312 - have healed significantly, including injuries between little toes and
251313 - adjacent ring toes.
251315 - ..
251316 - Reported switched shoes from size 9.5 to Bondi x-wide (3E) size 10 in
251317 - order to get less pressure on edges of feet. This seems to reduce
251318 - pain on little toes and big toes of both feet. However, results are
251319 - not consistent. Discussed trying size 10.5. Doctor Tang seemed to
251320 - recommend against getting oversized shoes to reduce lateral pressure
251321 - on edges of feet, saying this can cause other injuries.
251323 - ..
251324 - Doctor Tang debrided calluses on both big toes, and both little toes.
251326 - ..
251327 - Reviewed recent pain occurring on top of ring toes and between the
251328 - toes.
251330 - ..
251331 - The doctor provided two (2) each new padded bandaging devices that
251332 - slip over the little toe and slides between the toes. This seems to
251333 - press against the inside of the shoe at the little toe area, and
251334 - thereby reduce pressure that causes calluses and injury. He first
251335 - applied a small amount of lambs wool, then taped this in place. He
251336 - put the socks over these bandages. The socks and shoes hold the
251337 - lamb's whool and padded devices in place while hiking.
251339 - ..
251340 - Put the shoes on and walked around. The new bandaging prevents pain,
251341 - so will try hiking with them later today. Did not get the name of
251342 - these bandages.
251344 - ..
251345 - After meeting, found on Amazon...
251346 -
251347 - Povihome 10 Pack Pinky Toe Separator and Protectors, Triple
251348 - Gel Toe Separators for Overlapping Toe, Curled Pinky Toes
251349 - Separate and Protect
251350 -
251351 - https://www.amazon.com/Povihome-Separator-Straightener-Separators-Overlapping/dp/B07BMSRN8W/ref=sr_1_21?dchild=1&keywords=pinky+toe+protector&qid=1635175115&sr=8-21
251353 - ..
251354 - Looks like this might work.
251356 - ..
251357 - Doctor Tang indicated only the right foot needs the new padded device.
251358 - He feels the left foot little is healed enough to avoid bandaging.
251359 - The doctor indicated these 2 devices provided today are sufficient to
251360 - test application for the next month. If this works well, he will
251361 - provide additional padded bandages.
251363 - ..
251364 - After returning home in Concord, from meeting with Doctor Tang at VAMC
251365 - in San Francisco, hiked 26 miles. Had no pressure on edges of little
251366 - toes and adjacent ring toes. Worked very well - pain level 0 both
251367 - feet entire hike, reported in case study on 210101 0643. ref SDS 24
251368 - XPPU Next day on Saturday, hiked 21 miles with toe bandage on only
251369 - right foot, recommended by Doctor Tang. Had pain level 0 entire hike
251370 - on right foot, but pain level 1 - 3 on left foot most of hike. 210101
251371 - 0643, ref SDS 24 XUPT
251373 - ..
251374 - During the meeting today, asked Doctor Tang for the name of the dermal
251375 - curette that Doctor Devireddy used during the meeting on 210908 1027.
251376 - ref SDS 37 L83K Explain plan to buy these tools on Amazon, so
251377 - maintenance can be done when needed.
251379 - ..
251380 - Doctor Tang was kind enough to provide 2....
251381 -
251382 - Integra Miltex
251383 - Disposal Dermal Currette
251385 - ..
251386 - Scheduled next meeting on 211022 0830
251387 -
251388 - [On 211025 0810 called VA and scheduled next meeting with
251389 - Doctor Tang on 211123 0900. ref SDS 41 L83K
251390 -
251391 -
251392 -
2514 -
SUBJECTS
Default Null Subject Account for Blank Record
2603 -
260401 - ..
260402 - Progress Notes Release of Information Download from VA Server
260403 -
260404 - Download medical records from VA website...
260405 - at...
260406 -
260407 - https://www.myhealth.va.gov/mhv-portal-web/track-health
260408 -
260414 -
260416 - ..
260417 - Stored Progess Notes for procedure on 190813 at location...
260418 -
260419 - F:\05\00003\SM\CC\AGMJ\20210305-134700\WELCH.pdf
260420 -
260422 - ..
260423 - On November 2, 2021 VA reports "No information is available" for the
260424 - meeting with Doctor Tang on 211022.
260425 -
260426 -
260427 -
260428 -
260429 -
260430 -
260431 -
260432 -
260433 -
260434 -
260435 -
260436 -
260437 -
260438 -
260439 -
260440 -
260441 -
260442 -
260443 -
260444 -
260445 -
260446 -
260447 -
260448 -
260449 -
260450 -
260451 -
260452 -
260453 -
260454 -
260455 -
260456 -
260457 -
260458 -
260459 -
260460 -
260461 -
260462 -
260463 -
260464 -
260465 -
260466 -
260467 -
2605 -