CONTACTS
SUBJECTS
Wounds Achilles' Tendon Purchase Futuro Ankle Support Device 4 EA CV
1303 -
1303 - ..
1304 - Summary/Objective
1305 -
130501 - Follow up ref SDS 39 0000. ref SDS 38 0000.
130502 -
130503 -
130504 -
130505 -
130507 - ..
1306 -
1307 -
1308 - Background
1309 -
130901 - There have been continuing injuries to Achilles' tendons on both legs
130902 - the past months, reported for example on 160510, shown in case study
130903 - on 140101 0600. ref SDS 3 144L
130905 - ..
130906 - Background trying various models of Hoka shoes is reported on 160208
130907 - 1206. ref SDS 26 PPUV
130909 - ..
130910 - On 160507, ordered Hydrofera Blue dressing to heal and protect against
130911 - recurring wounds from hiking using Hoka Stinson 3 shoes, purchased to
130912 - replace Hoka Stinson Lite shoes, which caused no injuries the past 2
130913 - years. ref SDS 35 IH6I
130915 - ..
130916 - On 160511, received Hydrofera Blue dressing, however, it was stiff
130917 - like a board, and so could not be used in this case, ref SDS 36 IH6I,
130918 - and was returned. ref SDS 36 VH6N
130920 - ..
130921 - On 160513 telecon with Lauren, Primary Care Provider in Medical
130922 - Practice, will make referral to Wound Care for supplies and consult on
130923 - dressings that heal and protect against recurring injuries. 160513
130924 - 1100, ref SDS 37 FG5O
130926 - ..
130927 - On 160513 letter to Lana in Wound Care presents work plan for healing
130928 - and protecting against further injuries in order to continue hiking.
130929 - ref SDS 38 LC38
130931 - ..
130932 - On 160513 letter from Lana in Wound Care explains Hydrofera Blue
130933 - dressing received from Amazon that was stiff like a board, can be
130934 - softened for applying to wounds by moistening with water. ref SDS 38
130935 - OM6K
130937 - ..
130938 - On 160513 letter to Lana in Wound Care explains refill of wound care
130939 - supplies and support with provider expertise is required to resolve
130940 - recovery problems attempting home care the past month. ref SDS 38 QN8H
130941 - Will be on site at the hospital on Monday, 160516, hoping for 15
130942 - minutes of guidance in Wound Care, if feasible for the staff.
130943 - ref SDS 38 SO47
130944 -
130945 -
130946 -
130948 - ..
1310 -
1311 -
1312 - Progress
1313 -
131301 - Wore ankle support on left and right ankles to protect wounds on
131302 - Achilles' tendons, which were purchased on 160514 1145. ref SDS 39
131303 - FA6N
131305 - ..
131306 - This morning applied Hydrofera Blue dressings to wounds on both
131307 - Achilles' tendons. Then put socks over the dressing, and then
131308 - strapped on ankle support.
131310 - ..
131311 - At the VA Medical Center in San Francisco, walked from the car in the
131312 - garage across the street to Buildig 203, and up the 2nd Floor Visitor
131313 - Lounge. About 20% of the way begin feeling pain in left Achilles'
131314 - tendon. This increased the rest of the walk to a chair in the
131315 - Visitor's Lounge.
131317 - ..
131318 - After getting the computer setup to work, removed the left shoe and
131319 - checked the ankle brace. It had somehow rised up the back leg, and
131320 - so was not protecting the Hydrofera Blue dressing beneath the sock.
131322 - ..
131323 - Adjusted this and tightened the strap on the foot.
131325 - ..
131326 - Walked to the cafeteria.
131328 - ..
131329 - Same problem occurred. There seems to be lump now beneath the sock.
131331 - ..
131332 - Removed the left shoe, ankle support, and the sock. The Hydrofera
131333 - Blue dressing has rolled up, exposing the wound, which is being
131334 - rubbed by the sock, with pressure from the ankle support and the heel
131335 - of the shoe, exactly the opposite of the system design.
131336 -
131337 - [On 140101 0600 ankle brace provided by VA worked well on
131338 - left foot during entire 9 mile hike - held dressing in
131339 - place to protect wound on Achilles' tendon; both braces
131340 - together feel good - seem more stable. ref SDS 4 UTVT
131342 - ..
131343 - Rolled Hydrofera Blue dressing back into correct position. Pressed
131344 - the tape back against the skin. Replaced the sock carefully to avoid
131345 - causing the dressing to roll up again. Placed the Ankle support, and
131346 - pulled it lower on the foot, which pulled the pad at the back of the
131347 - Achilles' tendon lower to below the bottom of the Hydrofera Blue
131348 - dressing. Put the shoe on.
131350 - ..
131351 - Initially, walking did not feel anything, indicating successful
131352 - dressing and protection.
131354 - ..
131355 - Don't know how long this will last.
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