May 4 2017 Darthmouth General Hospital
The document is a receipt for payment and confirmation of the access to personal health information for a patient named Judy Foran. The document also includes contact information for the Queen Elizabeth II Health Sciences Centre in Halifax, Nova Scotia.
Road accident involving Judy Foran leading to significant injuries
Judy Foran, a 58-year-old woman, was hit by an unidentified vehicle while crossing a two-lane road in a crosswalk. Despite being conscious throughout the incident, she sustained injuries to her right clavicle and left leg, exhibiting pain, tenderness, and visible scrapes resembling road rash. Nonetheless, she did not suffer any disturbances in her head, neck, back or chest. After assessment, she was able to walk unassisted and was transported to Dartmouth General Hospital for further care. Hospital examinations confirmed her accident-specific injuries, including a proximal humerus fracture involving the greater tuberosity and degenerative changes in her lower cervical spine and upper thoracic spine. Additionally, an 8mm hypodense adenomatous nodule was located in her thyroid.
- The accident took place within the crosswalk, potentially indicating the driver's fault.
- The injuries sustained were significant, requiring immediate medical attention and extended care.
- An adenomatous nodule was discovered in Ms. Foran's thyroid.
Reference: 65, 72, 73, 80
Cancellation of Judy Theresa Foran's Surgery at Dartmouth General Hospital
Following the accident, Judy Foran was scheduled for a right shoulder scope and open reduction internal fixation (ORIF) of the humerus due to her injuries. However, the surgery was canceled due to lack of elective time at the hospital. Despite the cancellation Ms. Foran was discharged with clear dietary instructions to follow prior to her rescheduled surgery the next day.
- The important surgery was canceled due to hospital scheduling issues, possibly impacting Ms. Foran's recovery progression.
- Strict dietary restrictions were set in place for the planned surgery.
Reference: 57, 63
Surgical Procedures, Postoperative Management, and Medication Administration for Judy Foran
Ms. Foran was admitted to the hospital for a surgical procedure including shoulder scope labral repair, rotator cuff repair, and closed reduction of a greater tuberosity fracture, performed by Dr. Nathan A. Urquhart. The surgery was completed without significant complications. Afterwards, Ms. Foran experienced postoperative pain, for which she was administered medication, including acetaminophen, hydrocodone, and ibuprofen.
- The surgery was performed without any significant complications.
- Postoperative pain was managed through medication.
- Full details of the procedure are available in her medical records.
Reference: 33, 40, 49, 50
Postoperative Care and Management for Judy Foran
Postoperative care for Ms. Foran included a referral to outpatient physiotherapy for rehabilitation, where she was advised to use a shoulder sling for eight weeks to mitigate swelling and pain. Regular x-rays were taken to monitor her recovery, with one revealing that some fragments from the fracture could not be confirmed for being resected or reimplanted. Towards the end of this period, x-rays showed ongoing sclerosis along the healing, undisplaced avulsion fracture of the humeral tuberosity, although glenohumeral alignment was maintained.
- Rehabilitation included physiotherapy and usage of a shoulder sling.
- Regular x-rays were conducted to monitor recovery.
- Glenohumeral alignment was maintained despite ongoing sclerosis at the healing site.
Reference: 52, 54
Follow-up Appointments and Progress of Judy Foran's Recovery
Mrs. Foran attended two follow-up appointments at the orthopedic clinic, reporting persistent pain and stiffness, particularly at night. Despite her wounds healing well, she continues to struggle with mobility in her joints, instigating recommendations for further physiotherapy sessions.
- Mrs. Foran reported consistent pain and stiffness during follow-up appointments.
- The need for prolonged physiotherapy was recognized to help with range of motion.
Reference: 9, 10
Access to Judy Theresa Foran's Personal Health Information by Boyne Clarke
Access to Ms. Foran's personal medical health records was requested by Boyne Clarke, a law firm representing her. The request was considered paid in full, and a copy of the personal health information from Queen Elizabeth II Health Sciences Centre was provided.
- Boyne Clarke now has access to Judy Foran's personal medical records.
- This access might indicate a potential legal case related to her accident and subsequent care.
Reference: 1, 2
Hospital transfer of Judy Theresa Foran for further tests and procedures
There was a procedural transfer of Judy Theresa Foran, where detailed pre-transfer and post-procedure checklists were followed to ensure her wellbeing. All her health status information, including allergies, mobility, etc., were thoroughly documented both pre and post-procedure.
- Detailed annotations of Judy's health status during transfer and procedure underline the thoroughness of her medical care.
- Any changes in her status during procedure and after were documented for future reference.
Reference: 81, 82