040913 - ..
040914 - Showed and compared picture today, with significant bleeding that
040915 - occurred this past Sunday on 151108, reported in case study on 140101
040916 - 0600. ref SDS 1 6E8K Lana may have correlated with increased
040917 - bleeding with increased granulation of the wound bed.
040919 - ..
040920 - Reported favorable examination by Joy and Doctor Stewart in Surgery
040921 - Clinic on Tuesday, 151110 0130. ref SDS 18 NM5J
040923 - ..
040924 - Today, Lana is disappointed by slower than expected healing. She
040925 - attributes this to granulation, possibly caused by hiking 15 miles per
040926 - day (which was skipped yesterday), discussed previously on 151104
040927 - 1130. ref SDS 17 3Q8M Measurements show the wound is smaller than
040928 - when she examined the wound on 151104 1130. ref SDS 17 NV5I
040929 -
040930 - 
040932 - ..
040933 - She sees more granulation in the wound bed again today. She indicated
040934 - this granulation condition slows healing to close the wound. As a
040935 - result, she treated the wound with silver nitrate again...
040936 -
040937 - 
040939 - ..
040940 - Lana decided to do next examination in 7 days, next Friday on 151120
040941 - 0800, so that she can apply silver nitrate sooner than the 10 day
040942 - interval since the prior application on 151104 1130. ref SDS 17 3Q8M
040943 -
040944 - [On 140101 0600 in case study in evening on 151116 OA 1000
040945 - change dressing - wound seems to have increased
040946 - granulation. ref SDS 2 RI4H
040948 - ..
040949 - [On 140101 0600 in case study in evening on 151118 OA 1000
040950 - change dressing - wound seems to have less granulation and
040951 - significant closure. ref SDS 2 RI4H
040953 - ..
040954 - Discussed customer applying silver nitrate when changing wound
040955 - dressing on interim home care. Lana decided that since silver
040956 - nitrate packaging displays an express warning that this is a
040957 - dangerous poisenous application, the work should only be done by her
040958 - in the Wound Clinic.
040960 - ..
040961 - At first, she prescribed customer change wound dressing on Sunday,
040962 - but ultimately said to change the dressing tomorrow on Saturday,
040963 - 151114. Change it again on Tuesday, 151117.
040964 -
040965 - [On 140101 0600 in case study in evening on 151113 OA 2130
040966 - had to change dressing ahead of schedule, because took a
040967 - shower without protective plastic wrap on the lower leg.
040968 - ref SDS 2 X18K
040970 - ..
040971 - [On 140101 0600 in case study in evening on 151116 OA 1000
040972 - change dressing - wound seems to have increased
040973 - granulation. ref SDS 2 RI4H
040975 - ..
040976 - [On 140101 0600 in case study in evening on 151118 OA 1000
040977 - change dressing - wound seems to have less granulation and
040978 - significant closure. ref SDS 2 RI4H
040979 -
040981 - ..
040982 - Will meet with Lana in Wound Care Clinic on 151120 0800.
040983 -
040984 - [On 151120 0800 next meeting with Lana in Wound Clinic.
040985 - ref SDS 20 8H7O
040986 -
040987 -
040988 -
040989 -
040990 -
040991 -
040992 -
040993 -
040994 -
040995 -
040996 -
040997 -
0410 -