Michael L. Roh, Ophthalmologist
(MD) Treats Keith Torkelson
Progress Notes for Brand New Day
Progress Notes for Brand New Day
Parent Post
Michael L. Roh, M.D Treats Retinal Detachment on Client Keith Torkelson for Brand New Day
http://brandnewdayhmo.blogspot.com/2017/07/michael-l-roh-md-treats-retinal.html
Risk Factors Below are Very Likely the Most Important Item (Day 24)
Gas Bubble Pattern
Feature
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Detail
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Blog
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Brand New Day
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Community Partners
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Brand New Day – Orange County
Ophthalmology – OC Health Care Agency
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Condition
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Left eye detached retina -
Emergency
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Dedicated to
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Family in sickness and in
health
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Demographic Brief
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Scandinavian – Age 58 – Male
born in USA
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Doctor
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Michael L Roh MD -
Ophthalmologist
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Inspiration
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Stevie Wonder
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Page Chartered
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July 6, 2017
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Thing Greater Than Us
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Mother Earth (EART)
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Table of charter specification for this Blogger Page – Health Status Update for Keith Edward Torkelson, MS
20170811-F: DriveAbility (Satisfied and Time to Move Forward)
The following table indicates our
DriveAbility. One of Doctor Rol’s
strengths is that after seeing him he lets us carry the paperwork about the
encounter to the front desk. No-one
seems to mind that we go through page by page.
The information enclosed is quite insightful. One again probably our greatest risk factor
for eye meltdown was that our Left had had recent Cataract Surgery. Note on 20170717 Blood Sugar Level @ 815am =
108. We do not know the reference
range. Let us just say it is slightly
high. We are making some behavioral and
nutritional changes to address it now.
There was a notation in the exam room regarding PQRI and PQRS. Doctor notes that: “You must have something
on your side”. I.e. our HealAbility is
high. The bubble size is down to that of
a ball-bearing. Doctor says the image
result is “Fantastic”.
DriveAbility Outcomes/Results
DriveAbility Outcomes/Results
TimeStamp
Taken
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TimeStamp
Window
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Result
% C&C
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Major Milestone
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201706
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Retroactive
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100.0
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Before Retinal Detachment
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20170708-SA
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RT
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71.9
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20170713-TH
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RT
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70.8
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20170721-F
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RT
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85.6
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20170805-SA
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RT
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98.9
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Passed Night Drive
“Satisfied with eye fitness” |
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Last Reviewed: 20170807-M: Results for DriveAbility
Assessment in the face of Retina Surgery
MSG – DriveAbility Assessment (Beta)
Baseline Established June 2017
Baseline Established June 2017
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Item
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Sample Scoring
June 2017
B4C
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20170713-TH
Interim
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01
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Comfortable
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1.00
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0.75
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Confident & Secure
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1.00
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0.75
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Freeway during the day
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1.00
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0.00
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Freeway speed on streets
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NA
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0.50
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05
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Impairments addressed
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NA
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1.00
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In residential
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1.00
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1.00
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Leverage benefits of using the bus
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1.00
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1.00
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Leverage the odds
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1.00
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1.00
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Low Apprehension
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1.00
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0.50
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10
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Night driving
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1.00
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0.00
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Not give up and leave car
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1.00
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1.00
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On major streets
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1.00
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1.00
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Result of daily practice
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1.00
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0.75
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See with left eye
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1.00
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0.50
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15
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See with right eye
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1.00
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0.50
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Sound judgment
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1.00
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1.00
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Sustain & Maintain car related activities
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1.00
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0.50
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18
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Sustain no SUD
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1.00
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1.00
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Score MAX = 18
C&SDS =
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16.0/16
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12.8/18
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C&SDS (%) =
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100.0 C&C
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70.8 C&C
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Last Reviewed: 20170807-M: Self Score for Buster powered by
BILL
C&C Competent and Comfortable (Interpretation)
B4C Before Crisis
Pre-crisis Level of Functioning
Results Up Front (RUF) - Final
DriveAbility Assessment Results
List of Strenuous Behaviors – More Risk Factors
List of Strenuous Behaviors – More Risk Factors
Yoga/Pilates
Flooring Replacement Job Lifting
Flooring Replacement Job Lifting
No Recent Injury to: Eye – head – scalp
20170811-F: Day-50 - DriveAbility (Satisfied and Time to Move Forward)
The following table indicates our
DriveAbility. One of Doctor Rol’s
strengths is that after seeing him he lets us carry the paperwork about the
encounter to the front desk. No-one
seems to mind that we go through page by page.
The information enclosed is quite insightful. One again probably our greatest risk factor
for eye meltdown was that our Left had had recent Cataract Surgery. Note on 20170717 Blood Sugar Level @ 815am =
108. We do not know the reference
range. Let us just say it is slightly
high. We are making some behavioral and
nutritional changes to address it now.
There was a notation in the exam room regarding PQRI and PQRS. Doctor notes that: “You must have something
on your side”. I.e. our HealAbility is
high. The bubble size is down to that of
a ball-bearing. Doctor says the image
result is “Fantastic”.
DriveAbility Outcomes/Results
TimeStamp
Taken
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TimeStamp
Window
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Result
% C&C
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Major Milestone
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201706
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Retroactive
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100.0
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Before Retinal Detachment
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20170708-SA
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RT
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71.9
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20170713-TH
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RT
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70.8
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20170721-F
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RT
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85.6
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20170805-SA
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RT
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98.9
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Passed Night Drive
“Satisfied with eye fitness” |
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Last Reviewed: 20170807-M: Results for DriveAbility
Assessment in the face of Retina Surgery
Well Wishing
Well Wishing
Best wishes to any and all that may have to undergo a Retina
Reattachment Procedure :o)
20170811-F: End Of Report
20170808-TU: Day-48 - Coordination Check
20170808-TU: Day-48 - Coordination Check
CCCHC scheduling is not coordinated with OC Ophthalmology. In August 8, 2016 we had CCCHC print us a
copy of our “Appointment Card”. No appointments were listed exempt for the
on-site CCCHC appointments.
20170807-M @ 1230: Day-46 – Closing This Event
On Thursday August 3rd,
2017 we saw Doctor Rol for a post-operative checkup. We were tested: Our left eye pressure was
20mmHg. Our visual acuity was: 20/20
(Right) and 20/25 (Lt). Our left eye
improved since our last exam (Left = 20/40).
Our retina for both eyes was scanned.
Doctor indicates our Left has near completely reorganized. We to Doctor Rol we were “satisfied”. There are a couple of issues with the left
eye: It sees images as smaller thus further away than they really are. The left sees things a bit dimmer that the
better right eye. We are schedule an
exam in 1 month. For the most part we
can see the laptop screen and see to drive again. Doctor approved us to go back to our
Yoga/Pilates class. He said take it
easy.
Tying Up Loose Ends
20170703-W: Day-41 – Begin Closure
20170703-W: Day-41 – Begin Closure
Tomorrow we have and appointment with Dr. Rol at 345pm. We intend to take the bus because our eye is
very likely to be dilated. We have been
working to see if our program Brand New Day can help us with transportation in
the future. We are both satisfied
because using glasses we see our laptop screen and are able to drive the
car. We have yet to drive at night. Since our last appointment our vision has not
changed much. We hope the Doctor Rol releases
us to be physical again.
20170716-SUN @ 0830: Day-24 - Prevention Information
Prevention – Risk Factors – PEI - Complications
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Potential Risk Factor
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Note
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Unilateral
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Arc Welding Flash
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If you see one it is too much
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Blood Sugar Levels
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Not diabetic yet elevated
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Cataract Surgery
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2016
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X
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Elevated neutrophils
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Exertion
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Eye Rubbing
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Fume Exposure
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Around 50 volatiles
Auto repair and chemistry lab
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History of prescribed psychotropic intake with serious side
effects
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Worst was Haldol
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Injury to left eye resulting in corneal abrasion and a
blinding intraocular hematoma
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1978
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X
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Knocked unconscious – Ice Skating
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Laceration injury over right eye
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Lack of vigilance
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2 people told me the floater was not that serious
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Psychotropic - Clozapine
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Psychotropic - Lithium
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Smoker (Cigarette, Cigar, Pipe)
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Solvent exposure
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Gasoline in eyes treated with Tide Detergent and Water
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Suffocated and knocked unconscious
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Sun Exposure
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Really did not wear sunglasses until I was an adult
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Table of Potential Risk Factors
End of Entry
End of Entry
20170715-SAT: Day-23 - Healing
20170714-F @ 0700: Day-22 - Pause to Facilitate Healing
Due to the fact that we are not
scheduled for an exam for over two week we are pausing our journal here focus
on the slow healing process. During the
pause we will address risk factors, prevention, and early intervention. Our primary concern to resolve in the healing
stage is a few floaters persist. End of
Note.
20170713-TH: Day-21 – Progress Note
20170713-TH: Day-21 – End Progress Note
20170713-TH @ 1512: Patient Portal Check – Last Entry
TORKELSON, KEITH CCD Document
3610216 6/29/2017
20170711-TU: Day-19 – No Entry
20170712-W: Day-20 – Alternate
Engagement – Respiratory Crises
Started now module associated
with BND High Utilizers’ (HU) of ER or Inpatient Services. Commitment six (6) weeks Wednesday’s at from
11am – Noon. No lunch provided. BND Quality Of Life assessment used to track
progress for Retina issues and for BND and Utilizer module. End of Note
20170710-M: Day-19 – Addressing
DriveAbility (MSG-DAA, 2017, 18 Item
On 20170702-SUN: We here at MSG
drafted our DriveAbility Assessment Tool Beta Version. On 20170708-SAT: We
first applied our new instrument to Assess driving safety and confidence
current and retroactive. The following
indicates how we self scored. The
assessment tool is classified as Common Sense (LAW1). When we injured our eye in 1978 after the
intraocular blood cleared up we felt confident and drove. It took until 1983 (5 years) for our eye to
heal from skittishness.
DriveAbility Assessment (MSG-DAA, 2017-Beta)
Confident & Safe Driving
Score (C&SDS)
June 2017 Retroactive B4 Retina Crisis = 100% (C&SDS)
July 9, 2017 Real Time Healing
Stage = 63.8% (C&SDS)
Our
really cool and happening vision wall chart
20170710-M: End of Update
20170709-SUN: Day-18 – Dark Day –
De-escalation
20170708-SAT: Day-17 – Dark Day – De-escalation
20170707-F: Day-16 – Progress Note – Retina Repair - Active
Yesterday we saw our surgical ophthalmologist
Dr. Rol. Doctor Rol repaired our left
eye on 20170628-W: As we stated in Thursday entry he said we were doing
“fantastic”. He pointed out a couple of
our strengths: Our age (still young) and that we did not suffer diabetes. He completely disregarded one of our major
weaknesses. In the top five of our
weaknesses is that we are a cigarette smoker.
Why point it out unless you are prepared to solve it for us. Using our Quick Score Method (QSM) we award
Dr. Rol five (5) stars. We would eagerly
refer any friend or relative to him for services and care. Brand New Day really has a wonderful
Retinologist on board. He still wishes
us to focus on the treatment plan and therapy.
For next week we really have to measure what we commit to. Thank you again Dr. Rol.
20170706-TH: Day-14 – Key Event – Crucial Follow Up
Our appointment was at 11AM in
the Garden Grove Facilities. After two
tests by his technologists and one by himself Doctor Rol declared “Really
fantastic and great”. He says remain
guarded the way you have been. He
decreased the number of head tilt procedures to four (4) per day. He says to still sleep on my right
side. He listened as we read our
narrative about Day-13. He said
eloquent and put it to print. We took this as an approval. In a manner this and the other updates
qualify and paraprofessional activates. Once again, we must sustain a realistic
level of guardedness. He instructed to
finish up the drops he had prescribed us.
Yesterday Brand New Day sent us a second approval about this case. It was for Doctor Taban who we saw over one
(1) week ago. We shared the results
with our oldest sister (supporter). She
says: “That’s good news!” Last we will
visit our Portal to see if there are any updates.
20170706-TH: Accessing Our Patient Portal Resource (PPR)
This link will take you to the portal:
http://www.MySecureHealthData.com20170706-TH: Accessing Our Patient Portal Resource (PPR)
This link will take you to the portal:
In the doctors words
20170706 @222PM - There is no update because we believe this utility in for major occurrences – We say again, today Doctor Rol exclaimed fantastic and great. End 20170706-TH: Day-14 Record.
20170706 @222PM - There is no update because we believe this utility in for major occurrences – We say again, today Doctor Rol exclaimed fantastic and great. End 20170706-TH: Day-14 Record.
20170705-W: Day-13 New Hopes (Begin 20170705-W Notes)
Patient – Keith Torkelson – Scandinavian – 58 years old.
1.cataract. Diagnosed: 07/18/2016. Status: Active.
2.Presence of intraocular lens.
Diagnosed: 10/10/2016. Status: Active.
3.Retinal detachment with single
break, left eye.
Diagnosed: 06/29/2017. Status:
Active.
4.Age-related nuclear cataract,
right eye. Diagnosed: 06/29/2017. Status: Active.
Future Appointments: 1. 07/06/2017. 11:00. Reason:
F/U 1 Week. With: Dr. Michael Roh
20170705-W: Day-13 - Care Plan
Patient Portal Format – Client
Filled Out
Tests Pending:
1. Near & Far vision with and
without glasses. 2. Vanishing Point Test. 3. Floater Test. 4. Size of Bubble
Test. 5. Spirit Test. [Pending -
WALKING TEST & BUS RIDING TEST]
Tests Scheduled:
1. At least two vision tests:
Glaucoma – Vision – Free Hand Lens Apparatus
Referral(s) To Other
Providers:
1. If we are lucky we may have to
go back to Doctor Inman for tests about new glasses.
Decision Aids:
1. We would like to find a Retina Health Warm-line and speak to someone with lived experience.
1. We would like to find a Retina Health Warm-line and speak to someone with lived experience.
Goals:
1. Of course our goal is to recover the ocular and behavioral functionality we had say on June 12 (2017) before this crisis. (Objectives Pending)
1. Of course our goal is to recover the ocular and behavioral functionality we had say on June 12 (2017) before this crisis. (Objectives Pending)
Approvals:
1. We have been approved by phone
call from Brand New Day (BND) for our July 6, 2017 examination.
Parent Document
Michael L. Roh, M.D Treats
Retinal Detachment on Client Keith Torkelson for Brand New Day
http://brandnewdayhmo.blogspot.com/2017/07/michael-l-roh-md-treats-retinal.html
20170705-W: Day-13 New Hopes – Objectives & Narrative – Practicing Paraprofessional
20170705-W: Day-13 New Hopes – Objectives & Narrative – Practicing Paraprofessional
We held this section over on day so we could share it in
person with Doctor Rol. After reviewing
it he said that the text that follows is very “eloquent” and we might “publish”
it. We woke in better spirits this
morning largely due to a good night’s sleep.
The musculoskeletal pain we accrued early on in treatment is now absent. Vanishing Point Test (VPT): We call the
phenomena about the differing sizes of the same object registered in each eye
our VPT. It matters because we think
that the conflicting Vanishing Points make it difficult to drive. We have been getting substantial coaching from
our friend Gloria Shanks. At this
moment we pass the laptop test. After
an initial gain in our ability to focus things remain the same. Right eye is better with glasses. Left eye is better without glasses. There is not real pain other than
emotional. Tomorrow, July 6, we have
two appointments: The first with our
lab and the second with Doctor Rol.
There are fewer floaters this morning. The bubble has two nodes. Status is stable. Spirit: We hope that Mr. Give It Back helps us out
persistently. We really feel here at
Mentalations Solutions Group (MSG) there is an un-met need for, those with
lived experience about retinal detachment populate, a Warm-line to help others
and us with doubt and fear. Coping: To
cope with this crisis we have been writing about daily experience and struggles
with this key event. All of our supporters
in each own manner have helped up out.
The biggest help was a ride home from surgery that Mel Shanks provided.
The most problematic person was a roommate that kept us up from sleeping a
couple of nights ago. Again, last night
was better. We are re-upping our Luck.
End 20170705W: Day-13 Record.
Parent Post [DITTO]
Parent Post [DITTO]
Michael L. Roh, M.D Treats Retinal Detachment on Client Keith Torkelson for Brand New Day
http://brandnewdayhmo.blogspot.com/2017/07/michael-l-roh-md-treats-retinal.html
The Up End
