THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com


S U M M A R Y


DIARY: November 4, 2015 11:30 AM Wednesday; Rod Welch

VA meeting Lana in Wound Clinic recover hematoma left leg.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -    ..
0404 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040501 - Follow up ref SDS 16 0000. ref SDS 15 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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040506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040509 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Meeting this morning scheduled with Lana on 151028 0900. ref SDS 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040902 - MS9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040904 -  ..
040905 - Lana changed the dressing.  Pictures today, show continuing healing...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040909 -  ..
040910 - Today, Lana still feels the wound is healing well, and will be closed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040911 - when the surgery team makes a follow up examination on 151110, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040912 - that this wound may heal without a scar.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040914 -  ..
040915 - She sees more granulation today, and so treated the wound with more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040916 - silver nitrate.  She explained that rising granulation delays healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040917 - Lana feels this may be due to hiking long distances.  She recommended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040918 - pausing long hikes until after hematoma wound heals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040920 -            [On 151113 0900 examination Wound Clinic, Lana concerned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040921 -            about slow healing attributed to increased granulation of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040922 -            wound bed, which she again attributed to hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040923 -            distances; she reduced the 10 day interval for next Wound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040924 -            Clinic meeting to apply silver nitrate in 7 days instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040925 -            another 10 day interval. ref SDS 19 U49O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
040927 -  ..
040928 - Scheduled customer to change wound dressing on Saturday, 151107.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
040929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040930 -            [On 140101 0600 changed dressing on 151108, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040931 -            case study on exercise, diet, medication and vitals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040932 -            ref SDS 2 ZE9O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040934 -  ..
040935 - Dressing will be changed again during surgery review on 151110 1330.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
040936 - Lana said to bring Enluxtra dressing to assist the team.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
040938 -  ..
040939 - Lana submitted 2 Enluxtra bandages.  One is to change the dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
040940 - 151107.  Lana said the bring the other back to the hospital so the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040941 - surgery team can change the dressing on 151110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040943 -            [On 151110 0130 meeting with Joy in Surgery Clinis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040944 -            submitted Enluxtra bandage for dressing the wound after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040945 -            examination. ref SDS 18 KR3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040947 -  ..
040948 - Will meet with Lana in Wound Care Clinic on 151113 0900, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040949 - meeting with Doctor Tang in Podiatry.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
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0410 -