On August 01, 2018 a
Exhibit,Appendix
was filed
involving a dispute between
Amanda Dillon,
Valerie Austin,
and
Brian Changlai Md,
Jeanne Bishop Md,
Ovid Neulander Md,
Pawan K Rao Md,
for Torts - Medical, Dental, or Podiatrist Malpractice
in the District Court of Onondaga County.
Preview
FILED: ONONDAGA COUNTY CLERK 08/11/2022 02:58 PM INDEX NO. 007476/2018
NYSCEF DOC. NO. 173 RECEIVED NYSCEF: 08/11/2022
EXHIBIT “S”
FILED: ONONDAGA COUNTY CLERK 08/11/2022 02:58 PM INDEX NO. 007476/2018
NYSCEF DOC. NO. 173 RECEIVED NYSCEF: 08/11/2022
.
.
2
PROVIDER PRESSURE ULCER ASSESSMENT AND ORDERS
PHONE:316.273.9800 PAX:2 73.9998 m DBSIC . ineri otind
FIRST& LASTNAMB RN: VI ITYr
LOCATION: 3 LOCATION:
IP/T,EXPOSBD'ro/NOTBEYOND
DERMIS) TUNNBI,ING //T, EXPOSED
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DEBbllS) TUNNM
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UNDEEYlNG
/T EXPOSED STRUCTURE) UNDERMINING: IV(rfrEXPOSEDUNDERYING STRUCTURE) UNDERMINING:
UNSTAGBABLB ___.__CM DEEPEST UNSTAGEABLB CM DEBPBST
O DsEP
Times To o"CLOCR DSDTIsursersonsumssus amam O'CLOCK
0 HEs@NGl!l$ATU$:W 2. y ) p
%G OHEALING 6 ULA ON ¤HEALING
r)
o % SLOUGH . O DECLINED *NOTEREASON(S ) % SLOUGH ODECLINED *NOTEREASON(S)
3 . % ESCHAR OHEALED (SEE BELOW) % BSCHAR CHEALED (SEE BELOW)
.PB#fvpUND/BXtnka'It· c. .fBRIRQf2 /{l5UDAT11 Dx RISK FOR RE-OPENING
Dx RISK FOR RE-OPENING .
OWNL DMACBRATB O BTBS OPOORINTAKE pWNL DMACERATED ¤D BTES OPOGR INTAKE
IMOBILITY OINCONTINENCE OF INPBCTION f OBILITY OINCONTINENCE
OF INEBCTION OTHERDx:
WARMTHOBRYrH OTHERDx: WARMTHOBRYTHEMA
, ODOR PURULENCE QODOR GPURULENCE
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;2· PU II PU1V DBIOFILM . . PU II PU IV . O BIOFILM
FASCIA OSLOUGF1 DEPmBRMIS/DERMIS OSUBO ¤FASCIA SLOUGH .
2 OBPIDERMIS/DERMIS OSUBO ¤
¤MUSCLB DTENDON ¤SSCHAR PU 111 DMUSCLE OTENDON D ESCHAR
PU H[
DOTHER· DERMIS/SUBQ OOTHER:
DERMIS/SUgg
POST DEBRIDEMENT MBASUREMENT IN CM POSTDEBRIDEMENT MEASUREMENT IN CM
LENGTH x WIDTH x DEPTH AREA (LENGTH x WIDTH) LENGTH x WIDTH x DEPTH AREA (LENGTH x WIDTH)
X X sq cm X X sq cm
INSTRUMENT(S) USED
O INSTRIJMBNT[S) USBD
CURBITE QPORCSPS Q 815 SCALPBLQSCISSORS QCURBTTE QPORCHPS ¤ #15 SCALPBL QSCISSORS
OTHER PROCEDURBS OTHER PROCEDURES
Q DCHEMICAL DBBRJ OPHYPBRGRANUtaTlo W/S1LVERNITRATB OCHBMICALDBBRID ENTOFHYPERGRANULATl0N /SILVBRNITRATE
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PARINGOFCA110US DINCISION & DRAINAGE TISSUBBMPSY
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METHOD OF PAIN CONTROL TOLERANCE OF PROCEDURE | METHOD OF PAIN CONTROL
TOLBRANCE OF PROCEDURE |
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WITH DRYCLEANDRESSING
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CONUMUOUS
ESCHAR
STABLE
INTACT.DRY WITHAUDPAEL
> KEEPDRY,COVER PRN
DATE: _..._/_/- TIME:-:_.,_
PROVIDER SIGNATURE:
Document Filed Date
August 11, 2022
Case Filing Date
August 01, 2018
Category
Torts - Medical, Dental, or Podiatrist Malpractice
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FILED: ONONDAGA COUNTY CLERK 08/11/2022 02:58 PM INDEX NO. 007476/2018 NYSCEF DOC. NO. 173 RECEIVED NYSCEF: 08/11/2022 EXHIBIT “S” FILED: ONONDAGA COUNTY CLERK 08/11/2022 02:58 PM INDEX NO. 007476/2018 NYSCEF DOC. NO. 173 RECEIVED NYSCEF: 08/11/2022 . . 2 PROVIDER PRESSURE ULCER ASSESSMENT AND ORDERS PHONE:316.273.9800 PAX:2 73.9998 m DBSIC . ineri otind FIRST& LASTNAMB RN: VI ITYr LOCATION: 3 LOCATION: IP/T,EXPOSBD'ro/NOTBEYOND DERMIS) TUNNBI,ING //T, EXPOSED To/NOT BEYOND DEBbllS) TUNNM (P/THK,DEPTti TOSUBQ) DEPTII [][ (S/FHK, TOSUBQ) JM O d'CLOCR UNDEEYlNG /T EXPOSED STRUCTURE) UNDERMINING: IV(rfrEXPOSEDUNDERYING STRUCTURE) UNDERMINING: UNSTAGBABLB ___.__CM DEEPEST UNSTAGEABLB CM DEBPBST O DsEP Times To o"CLOCR DSDTIsursersonsumssus amam O'CLOCK 0 HEs@NGl!l$ATU$:W 2. y ) p %G OHEALING 6 ULA ON ¤HEALING r) o % SLOUGH . O DECLINED *NOTEREASON(S ) % SLOUGH ODECLINED *NOTEREASON(S) 3 . % ESCHAR OHEALED (SEE BELOW) % BSCHAR CHEALED (SEE BELOW) .PB#fvpUND/BXtnka'It· c. .fBRIRQf2 /{l5UDAT11 Dx RISK FOR RE-OPENING Dx RISK FOR RE-OPENING . OWNL DMACBRATB O BTBS OPOORINTAKE pWNL DMACERATED ¤D BTES OPOGR INTAKE IMOBILITY OINCONTINENCE OF INPBCTION f OBILITY OINCONTINENCE OF INEBCTION OTHERDx: WARMTHOBRYrH OTHERDx: WARMTHOBRYTHEMA , ODOR PURULENCE QODOR GPURULENCE "WTNB3PACETONoTERFfttWOFSY519tEPAT18NT A$$835MENT. FOR 3N-CGO4PLtANCE,REA5ON5 INWoUN* DBELINE SHARP DEB Br T . SHARP DEMENT .BB-LE]ED ___ MATERIAL REMOVBD TISSUH LBVEL DEBRIDED OVED. MATERIAL REMOVED _..21ji mgD.D.3B[Q - ;2· PU II PU1V DBIOFILM . . PU II PU IV . O BIOFILM FASCIA OSLOUGF1 DEPmBRMIS/DERMIS OSUBO ¤FASCIA SLOUGH . 2 OBPIDERMIS/DERMIS OSUBO ¤ ¤MUSCLB DTENDON ¤SSCHAR PU 111 DMUSCLE OTENDON D ESCHAR PU H[ DOTHER· DERMIS/SUBQ OOTHER: DERMIS/SUgg POST DEBRIDEMENT MBASUREMENT IN CM POSTDEBRIDEMENT MEASUREMENT IN CM LENGTH x WIDTH x DEPTH AREA (LENGTH x WIDTH) LENGTH x WIDTH x DEPTH AREA (LENGTH x WIDTH) X X sq cm X X sq cm INSTRUMENT(S) USED O INSTRIJMBNT[S) USBD CURBITE QPORCSPS Q 815 SCALPBLQSCISSORS QCURBTTE QPORCHPS ¤ #15 SCALPBL QSCISSORS OTHER PROCEDURBS OTHER PROCEDURES Q DCHEMICAL DBBRJ OPHYPBRGRANUtaTlo W/S1LVERNITRATB OCHBMICALDBBRID ENTOFHYPERGRANULATl0N /SILVBRNITRATE ¤PARING OFCALLO OINCISION & DRAINAGB OTISSUBBIOPSY PARINGOFCA110US DINCISION & DRAINAGE TISSUBBMPSY eanestoNs onamoNs_ onesice soPi,ssions s oPtastoNt aPt859oN5 METHOD OF PAIN CONTROL TOLERANCE OF PROCEDURE | METHOD OF PAIN CONTROL TOLBRANCE OF PROCEDURE | ¤INSENSATE OPREMEDICATED OTOLERATEDWELL OtNSBNSATE OPREMEDICATED TOLBRATBDWELL QBENZOCAINB20% SPRAY ¤DID NOTTOLERATEWELL DBENZOCAINB20%SPRAY ODID NOTTOLERATEWELL OPWON CHOSBN FOREACH PU ADD-lfl0NACf00ÙlfÁT-liiBFiY/Assil55BlHITW GulpBætlTB RBitMENTORDBR c 0R 2 NHidY fR SPECIPY Tit F UNDON TREATMENT OPTIONS . . . . TitBATMENT ORDBR/FREQUENCY - ASTOLBRATED LEAVBOPEN'fUAtR MONITORDAILY,0PPLOAD SIG LEAVEOPEN ASTOLERATED TOAIR,OFFLOAD = DAILY, Q3DAYSAND PRN,OFFLOADASTOLERATED . HYDROGEL MEDICALHONEY TO WOUNDBED.COVERWITH DRYCLEANDRESSING DAlLY& . COLLAGEN PRN,OFFLOADASTOLERATED . XEROPORMGAUZE . HYDROCOLLOlD , Q3DAYSAND PRN,OFFLOADASTOLERATBD HYDROCOLIAID Q36AYSAND PRN,OPPlüADASTOLERATED HYDROGBLGAUZE 'ID WOUNDBED, CQVER DAILY& WITH DRYCLEANDRESSING HONEYGAUZE PAN OFFLOADASTOLERATED NICKELTHK LA COVERW MOISTGA D RN PACKWOUNDLOOSELY,COVERWITHDRYCLEANDRESSING, VB ATE DAILYAND PRN(MAYBE CHANGEDEVERYOTHERDAYIF HYDROFIBER VBRHYDROFIBER ToWoUNo ACTU NBGATIVB RB QWNPORSThS Poak CONUMUOUS ESCHAR STABLE INTACT.DRY WITHAUDPAEL > KEEPDRY,COVER PRN DATE: _..._/_/- TIME:-:_.,_ PROVIDER SIGNATURE: