CONTACTS 

SUBJECTS
Cat Bite Right Hand Causes No Swelling Pain Temperature Okay Bleedin

0503 -
0503 -    ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS 14 0000, ref SDS 12 0000.
050502 -
050503 - Cat bite to right hand yesterday has not caused reaction of elevated
050504 - temeprature nor swelling of the hand and arm.  There has been some
050505 - extended bleeding, but it now seems under control. ref SDS 0 PPYQ
050506 - Need to maintain close monitoring for delayed reaction that caused
050507 - cellulitus in the left arm a few weeks ago. ref SDS 0 W14L
050508 -
050509 -     [On 061116 notified doctor of changes to patient history.
050510 -     ref SDS 19 6T5L
050511 -
050512 -
050513 -
050514 -
050516 -  ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Last night Millie was hugging the cat, and got another bite from
050902 - Tidbit.  This was on her right hand again, this time below the wrist
050903 - and above her thumb.  The cat is sensitive about being picked up and
050904 - hugged, and Millie is sensitive about demonstrating love and affection
050905 - for her cat.
050907 -  ..
050908 - Mil knows she has to avoid activity that causes bleeding and
050909 - infection, including cat bites.
050911 -  ..
050912 - Her hand bled.  Millie washed the wound carefully and put a bandaid to
050913 - stop the bleeding.  She did not apply medication to avoid infection.
050915 -  ..
050916 - Previously, on 050212 Millie was taken to the Emergency Room after a
050917 - cat bite with rising temperature above 101, and significant swelling
050918 - of her hand, and arm. ref SDS 14 0001  Millie's stage IV cancer
050919 - patient status requires going to the hospital for treatment with
050920 - temperature above 101.
050922 -  ..
050923 - Checked Millie's temperature at 2300, and she seemed okay.  There was
050924 - no swelling of her hand, as occurred previously.
050926 -  ..
050927 - We are lucky the injury was not to the left hand, which is sensitive
050928 - to changes and infections, shown by elevated temperature on 061027,
050929 - ref SDS 17 HP52, which required treatement of cellulitus in the
050930 - hospital for 5 days. ref SDS 17 V65J, due to tramua from a fall 6
050931 - weeks earlier, reported by the attending physician at that time.
050932 - ref SDS 17 V759  She is still on treatment because of relapse for
050933 - cellulitus on 061112. ref SDS 18 0001
050935 -  ..
050936 - This morning she was still okay.  No temperature and no swelling of
050937 - right hand.
050938 -
050939 -
050940 -
050941 -
050943 -  ..
0510 -
0511 -
0512 - 0936
0513 -
051301 - Called Millie.  She is still okay.  No swelling of the hand, and no
051302 - evident temperature.
051304 -  ..
051305 - She said the injury was bleeding today, so he changed the bandage.
051306 -
051307 -
051309 -  ..
0514 -
0515 -
0516 - 1737
0517 -
051701 - Millie still has no temperature and no swelling of her right hand, as
051702 - occurred previously with a cat bite.
051704 -  ..
051705 - She said bleeding was persistant today.  This reflects her being on
051706 - Coumadin, which is a blood thinner.  She got the bleeding to stop
051707 - with a better bandaid that held the would closed.
051709 -  ..
051710 - Otherwise she is okay.  Still no temperature and no swelling.
051712 -  ..
051713 - Since the fall that is associated with causing cellulitus in the left
051714 - arm occurred on 060914, about 6 weeks before symptoms of cellulitus
051715 - occurred on 061027, the record of her body being sensitive to changes,
051716 - requires monitoring the new condition for delayed reaction of
051717 - infection to either or both the right and left arm.
051718 -
051719 -
051720 -
051721 -
051722 -
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051724 -
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051726 -
0518 -