CONTACTS
SUBJECTS
Fall Floor Injury Forehead Right Eye Right Arm Significantly Traumat
0803 -
0803 - ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 5 X14J.
080502 -
080503 -
080505 - ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Millie suffered a serious fall this evening.
080905 - ..
080906 - She tripped and collapsed walking from the kitchen to the living room
080907 - and fell to the floor at the foot of the stairs. She bumped her head
080908 - and right eye. Significant injury to the right arm was not noticed
080909 - for several days. As well, there was slight bruise to left eye.
080911 - ..
080912 - [On 080131 nurse at UCSF advises that Millie should be examined
080913 - at ER whenever there is a significant fall, because Coumadin
080914 - patients are at risk for internal bleeding. ref SDS 8 CX9O
080916 - ..
080917 - [On 080202 right arm bruise worsened with very dark skin;
080918 - considering going to ER for examination. ref SDS 10 PPWU
080920 - ..
080921 - [On 080204 Millie examined at Kaiser Minor Injury Clinic in
080922 - Walnut Creek CA, doctor reported no evident damage other than
080923 - bruising, and prescribed no treatment. ref SDS 11 JQ8N
080925 - ..
080926 - [On 080204 Gloria in Kaiser Coagulation Control Clinic
080927 - recommended patients taking Coumadin, use Tylenol to control
080928 - pain rather than Motrin, because Motrin can cause internal
080929 - bleeding, which Coumadin can make life threatening. ref SDS 12
080930 - S65I
080932 - ..
080933 - [On 080207 0900 severe bruising noted by Doctor Rugo during
080934 - examination for cancer treatment; doctor asks if Millie wants
080935 - to consult social worker to report cause and prevention of
080936 - further injuries. ref SDS 13 QY5I
080938 - ..
080939 - [On 080214 letter to UCSF speculates the fall may have caused
080940 - CA 15-3 cancer marker to increase significantly. ref SDS 14
080941 - WH7H
080943 - ..
080944 - [On 080226 Millie's letter confirms telecon notifying Kaiser
080945 - Coagulation Control Department of bruising from fall on 080125.
080946 - ref SDS 16 S13Y
080948 - ..
080949 - [On 080226 another IBC patient reports emotional roller
080950 - coaster living with cancer. ref SDS 15 M36X
080952 - ..
080953 - Mil was very lucky that her glasses either came off before she landed,
080954 - or did not strike the floor first, and so avoided severely cutting
080955 - herself, possibly losing her sight.
080956 -
080957 - [On 080305 Millie complained of pain in the right arm when
080958 - lifted laterally to the vertical position; xray ordered.
080959 - ref SDS 17 5M39
080961 - ..
080962 - [On 080307 xray of right arm and shoulder negative; no findings
080963 - of fracture or trauma. ref SDS 18 IT8N
080965 - ..
080966 - Luck was with Millie landing more on the right side. If her left arm
080967 - had experienced the blow suffered by the right arm this would likely
080968 - have caused recurrence of Cellulitis with major inflammation and
080969 - swelling, rising temperature, as occurred at UCSF on 070607.
080970 - ref SDS 3 ZH6I This would have required care at Kaiser in the ER, as
080971 - on 061027, ref SDS 2 WO6N, creating administrative and emotional
080972 - issues.
080979 - ..
080980 - She knocked herself out. Picked her up and layed her on the couch in
080981 - the living room. Covered her with a blanket and turned her on her
080982 - side so she could breath normally. Wanted to take her to the
080983 - hospital, but she would not want to go in this condition.
080985 - ..
080986 - She regained consciousness, but was not really aware of what had
080987 - happened. She said her head and right arm hurt. Examination did not
080988 - seem to indicate anything broken or fractured, but this requires xrays
080989 - and professional opinion. Millie was adament about not going to the
080990 - Emergency treatment clinic at Kaiser.
080992 - ..
080993 - Kaiser's letter on 080121 received yesterday on 080124 specifies
080994 - notifying the coagulation control unit at Kaiser, ref SDS 6 SK3U, of
080995 - any unusual bruising. ref SDS 6 D66I Today fits that criteria.
080997 - ..
080998 - Millie does not want to notify anyone at this time. This is a close
080999 - call, since she may not be well enough to assess the situation.
081000 -
081001 - [On 080202 examination shows a major bruise on the upper right
081002 - arm; the appearance is of massive internal bleeding, consistent
081003 - with Coumadin treatments, ref SDS 10 PPWU, Millie decided not
081004 - to notify anyone, and to consider going to Kaiser Minor Injury
081005 - Clinic for examination on Monday. ref SDS 10 6244
081007 - ..
081008 - [On 080207 0900 severe bruising noted by Doctor Rugo during
081009 - examination for cancer treatment; doctor asks if Millie wants
081010 - to consult social worker to report cause and prevention of
081011 - further injuries. ref SDS 13 QY5I
081013 - ..
081014 - [On 080226 Kaiser Coagulation Control Department notified of
081015 - bruising from fall on 080125. ref SDS 16 S13Y
081022 - ..
081023 - Millie has suffered rising stress from medical problems, reviewed
081024 - recently at Kaiser on 080118, when the doctor urged consideration of
081025 - consultation with Mental Health Department. ref SDS 5 X14J She has
081026 - resisted seeking help to cope with emotional roller coaster from
081027 - living with cancer, due to Kaiser's failure perform on prior referral
081028 - to Mental Health reported to Kaiser on 070921. ref SDS 4 QY54
081029 -
081030 - [On 080129 Millie schedules meeting with Mental Health
081031 - department on 080201. ref SDS 7 RB7F
081033 - ..
081034 - [On 080131 nurse at UCSF advises that Millie should be examined
081035 - at ER whenever there is a significant fall, because Coumadin
081036 - patients are at risk for internal bleeding. ref SDS 8 CX9O
081038 - ..
081039 - [On 080201 mental health therapyst advised that prior
081040 - consultation reported on 060428, ref SDS 1 619N, dismissing
081041 - Millie's need for assistance was improper. ref SDS 9 SG7K
081043 - ..
081044 - [On 080204 Millie examined at Minor Injury Clinic at Kaiser in
081045 - Walnut Creek; no finding of serious injury; no xrays were
081046 - taken, ref SDS 11 546N; treatment was heating pad for 20
081047 - minutes 4 times a day to speed recovery from bruises.
081048 - ref SDS 11 T56H
081050 - ..
081051 - [On 080214 CA 15-3 63 rises significantly for blood test on
081052 - 080207. ref SDS 14 VX9T
081054 - ..
081055 - [On 080214 letter to UCSF speculates the fall may have caused
081056 - CA 15-3 cancer marker to increase significantly. ref SDS 14
081057 - C45U
081059 - ..
081060 - [On 080226 Kaiser Coagulation Control Department notified of
081061 - bruising from fall on 080125. ref SDS 16 S13Y
081063 - ..
081064 - [On 080226 another IBC patient reports emotional roller coaster
081065 - living with cancer. ref SDS 15 M36X
081066 -
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0811 -