Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 130 160 After 140 180

Eye exam Exam date - 2024-10-04 Examiner - DR G/ SC RIGHT LEFT PLR Menace PLR Menace DNE DNE DNE DNE Stain   Stain   DNE   DNE   Right eye: Some scarring in back of eye, especially ventral to pecten Left eye: "String of pearls" appearance to the left of center left distinct and more yellow. Suspect fibrin or other either in lens or front of vitreous. Also has some minor scarring to retina

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 120 120 After 140 160 Notes PT done under 3% ISO via mask. Full ROM for the elbow came quickly. Tape from the bandage that was in place seemed to be impeding movement at first. Removed bandage and PT afterwards went more smoothly. The wrist was stiff to the end and didn't reach 180

Surgery report Procedure - Performed by - Surgery time - 0 minutes Scrubbed pin sites with betadine swabs and replaced bandage on caudal/ventral aspect of humerus

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 140 180 After 140 180 Notes Looks great, full extension, holding wings normal

Surgery report Procedure - Wound debridement Performed by - RMB Surgery time - 0 minutes During PT, scrubbed upper pin with iodine swab and wiped clean. Covered with triple antibotic. Looked up better than it did on Monday, much less gunky.

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 90 180 After 130 180 Notes 5x, 15 sec each

Surgery report Procedure - Performed by - Surgery time - 0 minutes Scrubbed pin sites with betadine and covered with TAB + telfa/tega bandage

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 120 170 After 140 180

Eye exam Exam date - 2024-09-13 Examiner - Dr G/ME RIGHT LEFT PLR Menace PLR Menace ++ ++ ++ ++ Stain   Stain   DNE   DNE   Right eye: Some scarring noted ventral to pecten Left eye: Some white precipitates still noted in front of the fundus, but much smaller amount

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 140 180 After 140 180

Eye exam Exam date - 2024-09-08 Examiner - Dr G/ CD RIGHT LEFT PLR Menace PLR Menace ++ ++ ++ ++ Stain   Stain   DNE   DNE   Right eye: Small amount of debris in front of fundus latero-ventrally. Some scarring and pigment in same area. Left eye: Lots of debris either in vitreous or lens, including previously described white "string of pearls" debris in a curved pattern slightly lateral of middle. Slightly muddy fundus, but overall quieter

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 110 140 After 140 180 Notes Not too stiff. Able to get full rom quickly

Physical therapy Limb/joint Right wing Type PROM   Elbow Wrist Before 90 110 After 140 180 Notes Did a few reps and held each at extension for a few seconds at a time, moderately stiff but got to full ext quick

Eye exam Exam date - 2024-08-30 Examiner - Dr G/ MS RIGHT LEFT PLR Menace PLR Menace ++ ++ ++ ++ Stain   Stain   DNE   DNE   Right eye: Cloudy area ventrally with some active inflammation and debris Left eye: Fundus overall is a bit indistinct/ muddy looking. There is some white beady debris in the cranial aspect of the posterior chamber.

Eye exam Exam date - 2024-08-29 Examiner - me RIGHT LEFT PLR Menace PLR Menace + + + + Stain   Stain   DNE   DNE   Right eye: Mild floating fibrinous debris in ventral half of PC Left eye: mild floating fibrinous debris; cluster of white "beads" floating above pectn

Surgery report Procedure - Fracture repair - humerus Performed by - Dr G Surgery time - 60 minutes Positionined in ventral recumbency and prepped the dorsal aspect of the wing. The fracture is transverse, mid-shaft. While prepping found a small "road rash" wound on the point of the shoulder, and a small single wound on the edge of the dorsal humerus mid-shaft. Incised over the fracture site. Bluntly separated the muscle bellies and identified the radial nerve directly over the fracture site. It appeared intact but slightly bruised. Retracted gently w/ a sterile Q-tip for much of the procedure. Located the proximal fracture fragment and selected a 5/64 IM pin. Placed in the proximal fracture fragment then advanced retrograde into the shoulder, through the proximal humerus. After that, advanced normograde into the distal fragment. Checked placement radiographically. The IM pin is larger than I had anticipated, and I didn't advance quite as far distally as usual. After this placed a smaller pin (0.045) proximally angled proximo-cranially, and two 0.035 pins distally angled the opposite direction. Checked placement w/ palpation and radiographically. They all barely penetrated the distal cortex where they were placed. Bent all pins and placed cast material to form an external fixator. Both small wounds closed w/ 4-0 PDS. On surgical incision, muscle bellies opposed w/ 4-0 PDS (horizontal mattress pattern) and skin closed w/ cruciate pattern. Bandaged w/ figure-8. Stable during surgery, but slow to recover. Dr Gardner

Eye exam Exam date - 2024-08-26 Examiner - sc RIGHT LEFT PLR Menace PLR Menace ++ ++ ++ ++ Stain   Stain   DNE   DNE   Right eye: wide spread floating debris, mostly thin and whispy in nature Left eye: wide spread floating debris, mostly thin and whispy in nature. This eye also has some debris around the pecten with some white and some almost clear droplets "sitting" on the pecten