CONTACTS 

SUBJECTS
Health Care Lower Right Leg series 4 puncture Wounds Slight Penetrat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0503 -    ..
0504 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050501 - Follow up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
050502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050508 -  ..
0506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0508 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050901 - In the later afternoon, while working in the office.  Must have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050902 - walking around, but noticed there were 4 puncture wounds on the lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050903 - right side of the right leg, below the calf.  Thought there was a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050904 - stabbing sensation but did not investigate at the time.  Sometime                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050905 - later noticed the wounds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
050907 -  ..
050908 - Photograph shows slight bleeding...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050910 -   
050912 -  ..
050913 - Looked around in the office for an object with 4 evenly spaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050914 - protruding elements that could have caused the injury, but cannot find                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050915 - anything that fits the bill, and nothing with blood on it.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
050917 -  ..
050918 - Dressed the wounds with Enluxtra and Coban tape, following guidance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050919 - from Wound Care, e.g., on 151008 1200. ref SDS 1 ET8N  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
050920 - silver nitrate, as done on 151019 0800. ref SDS 2 ML8I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
050922 -  ..
050923 - Used netting as VAMCSF applied in Wound Care last year for hemotama on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050924 - left leg...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
050925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050926 -   
050927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050929 -            [On 160927 1012 removed dressing; wound seems healed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
050930 -            because no continuing bleeding. ref SDS 3 JY6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050932 -             ..
050933 -            [On 170221 1624 suffered similar injury, and applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050934 -            Enluxtra dressing again. ref SDS 4 JY6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
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050936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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0510 -