I cannot tell if the wound is healing correctly without seeing your child, so please call me or bring them in today if you notice any new redness, pus, or the edges pulling apart.
I understand you are concerned about whether the wound is OK. The surgeon can look at your child via a video consultation to check the healing. Please reply to this message or call the office and I will find a time for you.
TIER: red
ITEMS_WORSENING: Feeding, Bleeding, Fever
TREND_TWO_DAY: no
PHOTO_AGREEMENT: agrees
ESCALATION_DRAFTED: Immediate referral to the clinic/emergency unit due to wound edge separation.
PLEASE COME TO THE CLINIC NOW OR GO TO THE NEAREST EMERGENCY UNIT IMMEDIATELY. The on-call surgeon has been alerted to your arrival.
Dear Mother,
Regarding your question about whether the wound is OK: based on the photograph and the information you provided today, the wound is not healing as expected. The image shows a complete separation of the upper lip surgical line (the wound has opened).
Because the wound has opened, this is an urgent situation that requires immediate medical attention. Please do not wait until the next scheduled Tuesday clinic.
Here is the analysis of today’s report:
– Feeding: Slightly reduced (Worsening)
– Breastfeeding: Reduced (Worsening)
– Bleeding: Blood-stained saliva noted (Worsening)
– Fever: Child feels warm (Worsening)
– Pain Behaviour: Calm/playing (Stable)
– Swelling/Redness: Unchanged (Stable)
– Sleep: Normal (Stable)
The photo confirms a complete separation of the surgical line with a notch in the lip. This contradicts a normal recovery process and triggers an immediate red-tier escalation.
While you are on your way to the clinic, please ensure:
– The child does not touch or rub the lip.
– Keep the elbow restraints („no-nos“) on.
– Do not apply any creams or medications to the open wound.
– Continue the prescribed take-home medications (paracetamol/ibuprofen) exactly as ordered; do not add anything else. If an antibiotic was prescribed, ensure it has been given as directed, as the antibiotic regimen can only be altered by the managing consultant.
The team needs to see the child immediately to manage the wound separation and assess the reduced feeding and fever.
Safety Net: Contact the clinic immediately if you notice any difficulty breathing, active heavy bleeding, or if the child refuses all feeds while you are in transit.
Dr. Adegbayi Adeola ADEKUNLE BChD, MSc, FAOCMF, FMCDS, FWACS
Surgeon / Lecturer, Oral and Maxillofacial Surgery
Lagos University Teaching Hospital / College of Medicine, University of Lagos
+234 803 561 8530
(with AI support, not signed)
Termin vereinbaren
Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien
Telefon 01 408 95 00 66
Email ordination@smile.wien
Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.
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