041330 - ..
041331 - Appreciated this decision, because debridement in ER of prior hematoma
041332 - wound on lower left leg caused by falling during Half Dome hike on
041333 - 150916 0535, ref SDS 1 O87H, was very painful, reported on 150923
041334 - 1530. ref SDS 3 QD5K Lana later did more debridement and that again
041335 - was very painful, reported on 151001 1200. ref SDS 5 WW4I
041337 - ..
041338 - Lana explained the dead skin will eventually just fall off as the
041339 - tissue below heals and forms new skin.
041341 - ..
041342 - She found in her moveable Wound Care station a large Hydrofera Blue
041343 - Bacteriostatic dressing that completely covered the wound. She
041344 - wrapped this with 4" wide gauze, and then with 4" Coban tape as for
041345 - prior hematoma. She put a netting cover over Coban tape.
041346 -
041348 - ..
041349 - 2. Left elbow
041351 - ..
041352 - Lana commented the elbow wound is complicated with multiple sites.
041353 - She used some kind of yellow cloth-like dressing, and folded it in
041354 - half to double the thicnkess. Wrapped this with gause, and then taped
041355 - everything to stay in place. She dod not apply Coban tape.
041356 -
041357 - 
041359 - ..
041360 - Took a picture of Xeroform Occlusive Gauze Strip...
041361 -
041362 - 
041363 -
041365 - ..
041366 - 3. Face including right ear
041368 - ..
041369 - Lana examined these wounds. She cleaned the area but applied no
041370 - medication nor dressing.
041371 -
041373 - ..
041374 - 4. Head feels like many sores and back left side from top hurts
041375 - when turn head to right.
041377 - ..
041378 - There was no examination of head wounds.
041380 - ..
041381 - Lana proprosed patient change dressing on Monday, 170911. Explained
041382 - cannot bend to do this work due to pain from car accident.
041384 - ..
041385 - Lana scheduled another meeting with Wound care on Monday at 0900, per
041386 - below. ref SDS 0 PQ8L
041387 -
041388 - [On 170908 1425 received letter from Doctor Stewart and
041389 - call from Mike scheduling meeting with the doctor on
041390 - Tuesday, 170912, the day after schedule for Lana to change
041391 - dressing. Called Lana and asked about deferring meeting on
041392 - Monday, until after meeting with Doctor Stewart, in order
041393 - to avoid doubling the work, since Doctor Stewart will need
041394 - to see the wound, so dressing will have to be removed, and
041395 - then replaced. Lana decided to keep meeting on Monday,
041396 - 170911, because she wants to check for excessive wound
041397 - drainage. ref SDS 13 SX6O
041398 -
041421 - ..
0415 -
0416 -
0417 - 0941
0418 -
041801 - After the meeting, went to check out desk. Scheduled meeting with
041802 - Wound Care on 170911 0900, so this will be before meeting with Lauren
041803 - in Medical Practice Primary Care at 1000.
041804 -
041805 - [On 170908 1425 received letter from Doctor Stewart and
041806 - call from Mike scheduling meeting with the doctor on
041807 - Tuesday, 170912, the day after schedule for Lana to change
041808 - dressing. Called Lana and asked about deferring meeting on
041809 - Monday, until after meeting with Doctor Stewart, in order
041810 - to avoid doubling the work, since Doctor Stewart will need
041811 - to see the wound, so dressing will have to be removed, and
041812 - then replaced. Lana decided to keep meeting on Monday,
041813 - 170911, because she wants to check for excessive wound
041814 - drainage. ref SDS 13 SX6O
041815 -
041816 -
041817 -
041818 -
041819 -
041820 -
041821 -
041822 -
041823 -
041824 -
041825 -
0419 -