040941 - ..
040942 - Lana is disappointed by slower than expected healing. She attributes
040943 - this to granulation, possibly caused by hiking 15 miles per day (which
040944 - was skipped the past 2 days. Measurements show the wound is smaller
040945 - than when she examined the wound on 151113 0900. ref SDS 18 ML8I
040947 - ..
040948 - She sees more granulation in the wound bed again today, most evident
040949 - near the top of the wound. This slows healing to close the wound. As
040950 - a result, she treated the wound with silver nitrate again today.
040951 -
040952 -
040954 - ..
040955 - Showed and compared picture today, with more bleeding and greater
040956 - granulation this past Monday on 151116, reported in case study on
040957 - 140101 0600. ref SDS 1 RI4H
040958 -
040959 - 
040960 -
040961 - 
040963 - ..
040964 - Lana decided to do next examination in 5 days, next Wednesday on
040965 - 151125 0800, so that she can apply silver nitrate sooner than the 7
040966 - day interval since the prior application on 151113 0800. ref SDS 18
040967 - 3Q8M
040969 - ..
040970 - Discussed again customer applying silver nitrate when changing wound
040971 - dressing on interim home care. Lana still feels that since silver
040972 - nitrate packaging displays an express warning that this is a dangerous
040973 - poisenous application, the work should only be done by her in the
040974 - Wound Clinic.
040976 - ..
040977 - Discussed schedule to change wound dressing. Proposed Saturday and
040978 - Monday - a 2 day interval until she changes the dressing and applies
040979 - silver nitrate again on Wednesday, 151125.
040981 - ..
040982 - Lana seemed to prescribe customer change wound dressing tomorrow on
040983 - Saturday, 151121.
040985 - ..
040986 - Will meet with Lana in Wound Care Clinic on 151125 0800.
040987 -
040988 -
040989 -
040990 -
040991 -
040992 -
040993 -
040994 -
040995 -
040996 -
040997 -
040998 -
0410 -