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: October 11, 1988 08:30 AM .......; Rod Welch

Operation on knee at Mount Zion hospital, Jim Glick.

1...Summary/Objective


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CONTACTS 
0201 - Pacific Orthopaedic Medical Group                                                                                                                                  
020101 - Dr. James M. Glick                                                                                                                                               
0202 - Mount Zion Hospital & Medical Cente                                                                                                                                
020201 - Mr. Terry Hudson                                                                                                                                                 

SUBJECTS
Personal, Rod Welch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
Knee operation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0404 -    ..
0405 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040601 - Follow up ref SDS 2 0000. ref SDS 1 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040603 - Did registration in about 30 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040605 -  ..
040606 - Registration administrator confirmed the total hospital cost will be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040607 - $1,600  but agreed I could pay $400 today and the balance when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040608 - invoiced. Anesthesiologist assisted with paperwork so they could begin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040609 - the operation at 0900 instead of 0930, as originally scheduled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040611 -  ..
040612 - Had discussion with Jim in operating room about technologies that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040613 - could be used in place of complete knee replacement.  He cited use of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040614 - transplants being done in Europe, as an example of possible improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040615 - knee repair procedures.  I suggested that short of replacing the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040616 - entire knee, some material might be applied that would reduce the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
040617 - pressure on the remaining cartilage so it will not wear out so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040618 - quickly.  Jim explained that the problem is finding a material with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040619 - the same elasticity properties.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040621 -     [On 990625 report of 8 new therapies for knees. ref SDS 6 5400]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040624 -  ..
040625 - Operation took about 4 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040627 -  ..
040628 - In the recovery room, Jim explained some of what he encountered during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040629 - the operation.  He feels there is a good chance based on what he saw,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040630 - that the function of the knee can be restored somewhat.  Jim found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040631 - another tear in the remaining cartilage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040633 -  ..
040634 - I asked him to write a report of his findings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040636 -  ..
040637 - He asked me to come in Friday for a follow up examination, 881014.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040639 -     [On 881013 removed bandage and took shower. ref SDS 3 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040641 -     [On 881014 follow up meeting. ref SDS 4 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040643 -     [On 881105 begain light running. ref SDS 5 0001]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
Distribution. . . . See "CONTACTS"